Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $3,388.54 / $12,765.09	Facility		$310.58	$3,388.54	$12,765.09
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.82 / $139.82 / $155.29	Facility	52	$139.82	$139.82	$155.29
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.73 / $232.94 / $266.07	Facility	54	$209.73	$232.94	$266.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $310.58 / $698.07	Professional		$248.31	$310.58	$698.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $472.93 / $541.08	Professional		$268.69	$472.93	$541.08
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 $297.05 / $492.22 / $675.11	Professional		$297.05	$492.22	$675.11
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 $412.32 / $708.03 / $949.21	Professional		$412.32	$708.03	$949.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.64 / $503.35 / $762.18	Facility		$279.64	$503.35	$762.18
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,151.73 / $1,151.73 / $1,151.73	Facility	52	$1,151.73	$1,151.73	$1,151.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,007.76 / $1,007.76 / $1,007.76	Facility	54	$1,007.76	$1,007.76	$1,007.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.71 / $638.89 / $2,296.32	Professional		$386.71	$638.89	$2,296.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $661.18 / $949.21	Facility		$214.08	$661.18	$949.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $670.06 / $927.08	Professional		$517.00	$670.06	$927.08
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 $372.03 / $580.07 / $802.23	Professional		$372.03	$580.07	$802.23