Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.17 / $3,908.01 / $13,841.56	Facility		$80.17	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $75.44 / $287.04	Professional		$52.78	$75.44	$287.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $159.38 / $159.38	Professional		$159.38	$159.38	$159.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.13 / $902.45 / $1,745.64	Facility		$686.13	$902.45	$1,745.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $114.16 / $163.47	Professional		$62.84	$114.16	$163.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $71.81 / $71.81	Facility		$71.81	$71.81	$71.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $167.74 / $238.61	Professional		$110.14	$167.74	$238.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.36 / $113.71 / $301.25	Facility		$68.36	$113.71	$301.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $169.63 / $482.32	Professional		$102.57	$169.63	$482.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $161.03 / $236.60	Facility		$78.98	$161.03	$236.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $164.51 / $231.32	Professional		$124.59	$164.51	$231.32
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 $102.57 / $169.63 / $220.92	Professional		$102.57	$169.63	$220.92