Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,388.44 / $8,511.38	Facility		$416.87	$3,388.44	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $912.01 / $1,778.28	Facility	50	$912.01	$912.01	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $281.84 / $741.31	Professional		$83.18	$281.84	$741.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $602.56 / $1,174.90	Professional	50	$323.59	$602.56	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $208.93	Professional		$173.78	$186.21	$208.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	50	$257.04	$257.04	$257.04
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 $83.18 / $158.49 / $363.08	Professional		$83.18	$158.49	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $575.44	Professional		$102.33	$251.19	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $1,778.28	Facility		$100.00	$281.84	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $776.25	Professional		$234.42	$354.81	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $549.54	Professional		$173.78	$436.52	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $436.52	Professional		$158.49	$158.49	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,230.27 / $4,466.84	Facility		$501.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $467.74	Professional		$107.15	$234.42	$467.74