Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.94 / $3,908.01 / $13,841.56	Facility		$284.94	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.96 / $203.96 / $213.71	Facility	54	$203.96	$203.96	$213.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $284.94 / $1,421.59	Professional		$251.28	$284.94	$1,421.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $648.84 / $648.84 / $648.84	Professional		$648.84	$648.84	$648.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,350.61 / $4,406.97 / $8,524.51	Facility		$3,350.61	$4,406.97	$8,524.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.73 / $464.81 / $624.38	Professional		$274.73	$464.81	$624.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $193.40	Facility		$193.40	$193.40	$193.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.77 / $674.87 / $904.73	Professional		$347.77	$674.87	$904.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.95 / $475.91 / $650.71	Facility		$271.95	$475.91	$650.71
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $972.78 / $972.78 / $972.78	Facility	54	$972.78	$972.78	$972.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.12 / $619.29 / $2,216.40	Professional		$364.12	$619.29	$2,216.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $646.00 / $904.73	Facility		$214.08	$646.00	$904.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.92 / $668.12 / $904.73	Professional		$459.92	$668.12	$904.73
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 $364.12 / $621.79 / $784.25	Professional		$364.12	$621.79	$784.25