Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,801.89 / $11,481.54	Facility		$181.97	$3,801.89	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $794.33	Professional		$181.97	$331.13	$794.33
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $204.17 / $407.38 / $426.58	Professional	54	$204.17	$407.38	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $354.81	Professional		$208.93	$208.93	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $8,511.38	Facility		$3,388.44	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $446.68	Professional		$194.98	$323.59	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $660.69	Professional		$234.42	$467.74	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $346.74 / $1,000.00	Facility		$204.17	$346.74	$1,000.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	54	$676.08	$676.08	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $1,659.59	Professional		$245.47	$436.52	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $660.69	Professional		$467.74	$501.19	$660.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $676.08	Professional		$467.74	$524.81	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,230.27 / $4,466.84	Facility		$309.03	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $537.03	Professional		$229.09	$363.08	$537.03