Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,456.54 / $12,589.25	Facility		$870.96	$6,456.54	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $1,548.82	Professional		$257.04	$426.58	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
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 $316.23 / $512.86 / $812.83	Professional		$316.23	$512.86	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,258.93	Professional		$457.09	$812.83	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $1,995.26	Facility		$331.13	$512.86	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $3,162.28	Professional		$489.78	$812.83	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,258.93	Professional		$602.56	$831.76	$1,258.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,288.25	Professional		$616.60	$831.76	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $8,128.31	Facility		$1,995.26	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,000.00	Professional		$338.84	$575.44	$1,000.00