Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $3,398.27 / $12,765.09	Facility		$107.65	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $131.18 / $405.00	Professional		$57.33	$131.18	$405.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $140.15 / $212.66	Professional		$72.04	$140.15	$212.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.91 / $326.07 / $630.72	Facility		$247.91	$326.07	$630.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $107.91 / $215.49	Professional		$53.13	$107.91	$215.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $167.41 / $333.07	Professional		$84.53	$167.41	$333.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $188.39 / $620.00	Facility		$77.23	$188.39	$620.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $229.69 / $860.88	Professional		$131.54	$229.69	$860.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.97 / $197.93 / $309.86	Facility		$121.97	$197.93	$309.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $166.26 / $309.86	Professional		$121.97	$166.26	$309.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $231.77 / $272.35	Professional		$122.07	$231.77	$272.35