Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.47 / $4,241.22 / $13,841.56	Facility		$270.47	$4,241.22	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.85 / $202.85 / $213.30	Facility	54	$202.85	$202.85	$213.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $284.39 / $1,258.00	Professional		$239.21	$284.39	$1,258.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $202.85 / $213.30 / $1,123.19	Professional	54	$202.85	$213.30	$1,123.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $520.80 / $685.95 / $685.95	Professional		$520.80	$685.95	$685.95
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 $275.45 / $466.58 / $626.03	Professional		$275.45	$466.58	$626.03
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 $318.18 / $665.93 / $898.93	Professional		$318.18	$665.93	$898.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $270.47 / $473.32 / $622.49	Facility		$270.47	$473.32	$622.49
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $969.60 / $969.60 / $969.60	Facility	54	$969.60	$969.60	$969.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.37 / $596.29 / $2,210.48	Professional		$359.37	$596.29	$2,210.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $631.13 / $834.69	Facility		$212.73	$631.13	$834.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $440.15 / $665.93 / $872.38	Professional		$440.15	$665.93	$872.38
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 $359.37 / $596.29 / $774.03	Professional		$359.37	$596.29	$774.03