Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $3,801.89 / $12,589.25	Facility		$125.89	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $245.47	Professional		$67.61	$109.65	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,162.28	Facility		$1,258.93	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $186.21	Professional		$77.62	$125.89	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $295.12	Professional		$83.18	$194.98	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $1,230.27	Facility		$75.86	$141.25	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $741.31	Professional		$114.82	$194.98	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $275.42	Professional		$158.49	$213.80	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $223.87	Professional		$158.49	$218.78	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,230.27 / $4,466.84	Facility		$251.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $234.42	Professional		$87.10	$147.91	$234.42