Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $2,866.00 / $12,036.14	Facility		$151.97	$2,866.00	$12,036.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $759.50 / $1,720.50 / $2,255.84	Facility	50	$759.50	$1,720.50	$2,255.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $187.12 / $439.44	Professional		$77.11	$187.12	$439.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.86 / $534.76 / $659.15	Professional	50	$252.86	$534.76	$659.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $304.14 / $358.01	Professional		$304.14	$304.14	$358.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $233.34 / $233.34 / $537.01	Professional	50	$233.34	$233.34	$537.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.98 / $1,607.24 / $3,108.92	Facility		$1,221.98	$1,607.24	$3,108.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $160.88 / $312.08	Professional		$81.59	$160.88	$312.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $320.25 / $477.20	Professional		$161.75	$320.25	$477.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $258.37 / $1,242.00	Facility		$96.39	$258.37	$1,242.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $943.20 / $945.30 / $3,134.44	Facility	50	$943.20	$945.30	$3,134.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $337.54 / $671.00	Professional		$199.07	$337.54	$671.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.96 / $307.43 / $465.66	Facility		$181.96	$307.43	$465.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.96 / $314.18 / $444.43	Professional		$181.96	$314.18	$444.43
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 $199.07 / $344.40 / $428.76	Professional		$199.07	$344.40	$428.76