Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,801.89 / $12,589.25	Facility		$354.81	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $630.96	Professional		$134.90	$181.97	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Professional		$151.36	$151.36	$177.83
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 $144.54 / $234.42 / $331.13	Professional		$144.54	$234.42	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $501.19	Professional		$173.78	$354.81	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $251.19 / $691.83	Facility		$154.88	$251.19	$691.83
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	54	$478.63	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $1,258.93	Professional		$186.21	$323.59	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $478.63	Professional		$323.59	$380.19	$478.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $501.19	Professional		$331.13	$389.05	$501.19
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 $162.18 / $263.03 / $398.11	Professional		$162.18	$263.03	$398.11