Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.28 / $3,908.01 / $13,841.56	Facility		$137.28	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $193.68 / $320.58	Professional		$92.12	$193.68	$320.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $150.91 / $156.19	Professional		$150.91	$150.91	$156.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,651.58 / $3,194.68	Facility		$1,255.69	$1,651.58	$3,194.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $113.02 / $184.53	Professional		$59.57	$113.02	$184.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $189.55 / $313.20	Professional		$89.52	$189.55	$313.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $187.42 / $1,470.79	Facility		$92.12	$187.42	$1,470.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $28.61 / $28.61 / $28.61	Facility	AS	$28.61	$28.61	$28.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $220.52 / $743.20	Professional		$120.75	$220.52	$743.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $211.15 / $313.91	Facility		$137.54	$211.15	$313.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.33 / $211.15 / $313.91	Professional		$140.33	$211.15	$313.91
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 $120.75 / $221.14 / $279.33	Professional		$120.75	$221.14	$279.33