Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $8,042.03 / $19,276.96	Facility		$4,241.22	$8,042.03	$19,276.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.30 / $1,362.44 / $2,408.26	Professional		$786.30	$1,362.44	$2,408.26
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $61.79 / $380.34 / $640.75	Professional	AS	$61.79	$380.34	$640.75
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $263.58 / $263.58 / $263.58	Professional	AS	$263.58	$263.58	$263.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,335.87 / $4,387.57 / $8,486.99	Facility		$3,335.87	$4,387.57	$8,486.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.37 / $1,433.33 / $1,995.59	Professional		$839.37	$1,433.33	$1,995.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.95 / $2,385.57 / $3,086.25	Professional		$1,663.95	$2,385.57	$3,086.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $850.19 / $1,959.30 / $6,410.00	Facility		$850.19	$1,959.30	$6,410.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $397.38 / $397.38 / $397.38	Facility	AS	$397.38	$397.38	$397.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,274.49 / $2,245.53 / $8,026.00	Professional		$1,274.49	$2,245.53	$8,026.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,910.48 / $2,445.21 / $3,718.93	Facility		$1,910.48	$2,445.21	$3,718.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.44 / $2,130.08 / $2,898.80	Professional		$1,621.44	$2,130.08	$2,898.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,557.28 / $5,419.46 / $8,632.00	Facility		$4,557.28	$5,419.46	$8,632.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.49 / $2,245.53 / $2,526.41	Professional		$1,274.49	$2,245.53	$2,526.41