Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.98 / $3,398.27 / $12,765.09	Facility		$278.98	$3,398.27	$12,765.09
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.12 / $229.12 / $239.79	Facility	54	$229.12	$229.12	$239.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.69 / $319.72 / $1,395.00	Professional		$241.69	$319.72	$1,395.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $229.12 / $239.79 / $1,207.33	Professional	54	$229.12	$239.79	$1,207.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $390.52 / $390.52 / $584.99	Professional		$390.52	$390.52	$584.99
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $877.48 / $877.48 / $877.48	Professional	50	$877.48	$877.48	$877.48
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 $310.94 / $524.29 / $706.71	Professional		$310.94	$524.29	$706.71
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 $387.37 / $751.38 / $1,016.76	Professional		$387.37	$751.38	$1,016.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.49 / $534.61 / $714.79	Facility		$305.49	$534.61	$714.79
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,094.65 / $1,094.65 / $1,094.65	Facility	54	$1,094.65	$1,094.65	$1,094.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.73 / $664.22 / $2,494.40	Professional		$399.73	$664.22	$2,494.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $708.25 / $937.97	Facility		$212.73	$708.25	$937.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $490.71 / $708.88 / $976.13	Professional		$490.71	$708.88	$976.13
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 $383.74 / $664.89 / $865.47	Professional		$383.74	$664.89	$865.47