Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.15 / $5,463.36 / $13,841.56	Facility		$1,506.15	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $122.34 / $673.74	Professional		$104.79	$122.34	$673.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $58.95 / $58.95	Professional		$58.95	$58.95	$58.95
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 $117.87 / $200.91 / $267.89	Professional		$117.87	$200.91	$267.89
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 $172.00 / $291.14 / $378.84	Professional		$172.00	$291.14	$378.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $211.19 / $731.30	Facility		$122.34	$211.19	$731.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.58 / $243.16 / $332.95	Professional		$154.58	$243.16	$332.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $245.63 / $367.63	Facility		$193.40	$245.63	$367.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $274.02 / $367.63	Professional		$178.18	$274.02	$367.63
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 $149.36 / $258.75 / $316.83	Professional		$149.36	$258.75	$316.83