Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,025.60 / $12,302.69	Facility		$1,202.26	$6,025.60	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,148.15 / $3,090.30	Professional		$562.34	$1,148.15	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,122.02	Professional		$549.54	$851.14	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $10,964.78 / $21,379.62	Facility		$8,317.64	$10,964.78	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,949.84	Professional		$691.83	$1,148.15	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,951.21	Professional		$1,071.52	$1,778.28	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,258.93 / $7,244.36	Facility		$741.31	$1,258.93	$7,244.36
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	AS	$275.42	$275.42	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $7,585.78	Professional		$1,071.52	$1,698.24	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $3,090.30	Professional		$1,148.15	$1,905.46	$3,090.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,235.94	Professional		$1,348.96	$1,862.09	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,912.51 / $16,982.44	Facility		$4,786.30	$8,912.51	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,398.83	Professional		$724.44	$1,288.25	$2,398.83