Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,187.76 / $8,511.38	Facility		$295.12	$2,187.76	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility	50	$10,964.78	$10,964.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $208.93 / $549.54	Professional		$63.10	$208.93	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $245.47 / $251.19	Professional	50	$93.33	$245.47	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $489.78	Professional		$67.61	$102.33	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $851.14	Facility		$331.13	$436.52	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $426.58	Professional		$77.62	$173.78	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $562.34	Professional		$95.50	$204.17	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $363.08 / $812.83	Facility		$91.20	$363.08	$812.83
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $1,174.90 / $1,659.59	Facility	50	$724.44	$1,174.90	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $380.19 / $3,235.94	Professional		$144.54	$380.19	$3,235.94
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	50	$169.82	$169.82	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $426.58 / $575.44	Professional		$147.91	$426.58	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $371.54 / $758.58	Professional		$147.91	$371.54	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,548.82 / $4,570.88	Facility		$537.03	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $223.87 / $512.86	Professional		$87.10	$223.87	$512.86