Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.74 / $4,518.60 / $13,841.56	Facility		$321.74	$4,518.60	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $214.16 / $214.16 / $241.31	Facility	54	$214.16	$214.16	$241.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $321.74 / $1,558.00	Professional		$281.56	$321.74	$1,558.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $272.97 / $272.97	Professional		$272.97	$272.97	$272.97
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 $301.94 / $507.20 / $686.23	Professional		$301.94	$507.20	$686.23
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 $472.29 / $724.56 / $968.57	Professional		$472.29	$724.56	$968.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.57 / $519.61 / $799.39	Facility		$289.57	$519.61	$799.39
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,020.47 / $1,020.47 / $1,020.47	Facility	54	$1,020.47	$1,020.47	$1,020.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $683.25 / $2,331.84	Professional		$411.68	$683.25	$2,331.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $691.02 / $955.22	Facility		$212.73	$691.02	$955.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $568.29 / $700.88 / $955.22	Professional		$568.29	$700.88	$955.22
United Facility/Professional Facility Modifier Low / Median / High Price $298.62 / $407.62 / $4,317.00	Facility		$298.62	$407.62	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $680.86 / $886.70	Professional		$411.68	$680.86	$886.70