Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.90 / $3,795.64 / $13,841.56	Facility		$189.90	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $133.61 / $133.61 / $142.43	Facility	54	$133.61	$133.61	$142.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $189.90 / $906.48	Professional		$163.97	$189.90	$906.48
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $133.61 / $142.43 / $740.87	Professional	54	$133.61	$142.43	$740.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.30 / $349.30 / $349.30	Professional		$349.30	$349.30	$349.30
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 $182.03 / $309.76 / $413.70	Professional		$182.03	$309.76	$413.70
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 $255.48 / $440.33 / $614.52	Professional		$255.48	$440.33	$614.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $315.49 / $440.37	Facility		$178.14	$315.49	$440.37
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $641.12 / $641.12 / $641.12	Facility	54	$641.12	$641.12	$641.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.41 / $402.66 / $1,461.60	Professional		$239.41	$402.66	$1,461.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $419.15 / $585.79	Facility		$212.73	$419.15	$585.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $440.33 / $585.79	Professional		$314.00	$440.33	$585.79
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 $239.41 / $359.11 / $490.51	Professional		$239.41	$359.11	$490.51