Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,801.89 / $12,589.25	Facility		$371.54	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $776.25	Professional		$128.82	$173.78	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,290.87	Facility		$891.25	$1,174.90	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $331.13	Professional		$138.04	$239.88	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $380.19 / $478.63	Professional		$147.91	$380.19	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $269.15 / $1,230.27	Facility		$141.25	$269.15	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $1,318.26	Professional		$190.55	$346.74	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $478.63	Professional		$309.03	$389.05	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $426.58	Professional		$309.03	$389.05	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,230.27 / $4,466.84	Facility		$501.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $416.87	Professional		$173.78	$288.40	$416.87