Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $147.91 / $676.08	Facility		$45.71	$147.91	$676.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $194.98 / $229.09 / $776.25	Facility	50	$194.98	$229.09	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $63.10 / $154.88	Professional		$25.12	$63.10	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.62 / $125.89 / $354.81	Professional	50	$31.62	$125.89	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $120.23	Professional		$43.65	$56.23	$120.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	50	$79.43	$79.43	$79.43
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 $29.51 / $57.54 / $120.23	Professional		$29.51	$57.54	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $186.21	Professional		$53.70	$83.18	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $85.11 / $489.78	Facility		$31.62	$85.11	$489.78
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	50	$776.25	$776.25	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $478.63	Professional		$64.57	$114.82	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $181.97	Professional		$56.23	$120.23	$181.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $199.53	Professional		$57.54	$83.18	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,230.27 / $4,466.84	Facility		$199.53	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $70.79 / $144.54	Professional		$33.88	$70.79	$144.54