Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $269.15	Facility		$123.03	$204.17	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $316.23	Professional		$93.33	$144.54	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $239.88	Professional		$75.86	$83.18	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,737.80	Facility		$676.08	$891.25	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $245.47	Professional		$97.72	$169.82	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $380.19	Professional		$138.04	$251.19	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $457.09	Facility		$114.82	$194.98	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $977.24	Professional		$147.91	$263.03	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $380.19	Professional		$213.80	$302.00	$380.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $389.05	Professional		$218.78	$288.40	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,230.27 / $4,466.84	Facility		$346.74	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $309.03	Professional		$120.23	$199.53	$309.03