Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.16 / $3,362.89 / $12,765.09	Facility		$765.16	$3,362.89	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $225.55 / $513.82	Professional		$89.12	$225.55	$513.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $115.69 / $201.35	Professional		$85.53	$115.69	$201.35
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 $69.56 / $130.69 / $205.19	Professional		$69.56	$130.69	$205.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $222.61 / $347.70	Professional		$106.89	$222.61	$347.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.76 / $224.00 / $670.50	Facility		$102.76	$224.00	$670.50
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $33.00 / $33.00 / $33.00	Facility	AS	$33.00	$33.00	$33.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $255.00 / $820.00	Professional		$137.24	$255.00	$820.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.66 / $239.63 / $351.43	Facility		$158.66	$239.63	$351.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $239.63 / $351.43	Professional		$168.30	$239.63	$351.43
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 $137.24 / $247.04 / $265.43	Professional		$137.24	$247.04	$265.43