Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.94 / $3,908.01 / $13,841.56	Facility		$113.94	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $84.99 / $84.99 / $85.46	Facility	54	$84.99	$84.99	$85.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $113.94 / $558.00	Professional		$102.23	$113.94	$558.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $84.99 / $85.46 / $479.69	Professional	54	$84.99	$85.46	$479.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $139.41 / $139.41	Professional		$139.41	$139.41	$139.41
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 $111.97 / $190.34 / $254.47	Professional		$111.97	$190.34	$254.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $120.33 / $120.33	Facility		$120.33	$120.33	$120.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $276.57 / $369.18	Professional		$164.00	$276.57	$369.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $198.31 / $326.63	Facility		$113.32	$198.31	$326.63
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $229.42 / $402.69 / $402.69	Facility	54	$229.42	$402.69	$402.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $246.78 / $928.72	Professional		$149.12	$246.78	$928.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $275.89 / $360.85	Facility		$132.36	$275.89	$360.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $276.57 / $367.07	Professional		$189.00	$276.57	$367.07
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 $149.12 / $254.66 / $321.19	Professional		$149.12	$254.66	$321.19