Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,456.54 / $12,589.25	Facility		$1,445.44	$6,456.54	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,445.44 / $3,311.31	Professional		$660.69	$1,445.44	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,548.82	Professional		$676.08	$1,071.52	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $11,748.98	Facility		$4,570.88	$6,025.60	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,584.89	Professional		$660.69	$1,122.02	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $2,089.30	Professional		$794.33	$1,621.81	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $6,456.54	Facility		$660.69	$1,202.26	$6,456.54
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $186.21 / $645.65 / $645.65	Facility	AS	$186.21	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $5,370.32	Professional		$776.25	$1,348.96	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,290.87	Professional		$1,380.38	$1,659.59	$2,290.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $2,290.87	Professional		$1,584.89	$1,659.59	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $8,128.31	Facility		$3,630.78	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $1,862.09	Professional		$776.25	$1,348.96	$1,862.09