Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,801.89 / $12,589.25	Facility		$66.07	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $37.15 / $165.96	Professional		$15.85	$37.15	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $31.62	Professional		$28.18	$30.90	$31.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $630.96	Facility		$245.47	$323.59	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $63.10	Professional		$19.50	$32.36	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $61.66 / $97.72	Professional		$26.92	$61.66	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $48.98 / $1,230.27	Facility		$18.20	$48.98	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $245.47	Professional		$39.81	$70.79	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $95.50	Professional		$36.31	$61.66	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $72.44	Professional		$37.15	$53.70	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $43.65 / $79.43	Professional		$22.39	$43.65	$79.43