Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.25 / $3,666.78 / $12,765.09	Facility		$1,175.25	$3,666.78	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,584.17 / $3,584.17 / $3,584.17	Facility	50	$3,584.17	$3,584.17	$3,584.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $874.86 / $2,980.00	Professional		$264.72	$874.86	$2,980.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,332.66 / $2,566.42 / $6,015.33	Professional	50	$2,332.66	$2,566.42	$6,015.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $617.89 / $617.89 / $617.89	Professional		$617.89	$617.89	$617.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $246.84 / $246.84 / $926.83	Professional	50	$246.84	$246.84	$926.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.41 / $1,792.20 / $3,364.42	Facility		$1,322.41	$1,792.20	$3,364.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $631.45 / $2,613.17	Professional		$277.83	$631.45	$2,613.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.78 / $2,183.40 / $4,278.72	Professional		$550.78	$2,183.40	$4,278.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.27 / $1,761.62 / $3,346.53	Facility		$380.27	$1,761.62	$3,346.53
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,767.48 / $1,767.48 / $1,767.48	Facility	50	$1,767.48	$1,767.48	$1,767.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,697.70 / $3,047.63 / $11,617.10	Professional		$1,697.70	$3,047.63	$11,617.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $2,574.26 / $4,278.72	Facility		$694.09	$2,574.26	$4,278.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.91 / $2,574.26 / $4,035.61	Professional		$633.91	$2,574.26	$4,035.61
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 $1,839.18 / $3,140.75 / $3,616.94	Professional		$1,839.18	$3,140.75	$3,616.94