Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,244.36 / $13,489.63	Facility		$912.01	$7,244.36	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $2,511.89	Professional		$416.87	$537.03	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $977.24	Professional		$194.98	$407.38	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $12,022.64	Facility		$4,677.35	$6,165.95	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,023.29	Professional		$426.58	$707.95	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,000.00 / $1,318.26	Professional		$489.78	$1,000.00	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $741.31 / $6,760.83	Facility		$416.87	$741.31	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $3,388.44	Professional		$467.74	$851.14	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,380.38	Professional		$891.25	$1,047.13	$1,380.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,380.38	Professional		$1,000.00	$1,047.13	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $8,128.31	Facility		$3,630.78	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,202.26	Professional		$467.74	$851.14	$1,202.26