Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,235.94 / $8,709.64	Facility		$380.19	$3,235.94	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $457.09 / $1,000.00	Professional		$199.53	$457.09	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $407.38	Professional		$154.88	$288.40	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $8,511.38	Facility		$2,238.72	$3,715.35	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $416.87	Professional		$177.83	$309.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $630.96	Professional		$239.88	$436.52	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,047.13 / $4,786.30	Facility		$257.04	$1,047.13	$4,786.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	AS	$85.11	$85.11	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $1,380.38	Professional		$269.15	$467.74	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $630.96	Professional		$407.38	$501.19	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Professional		$407.38	$407.38	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $8,128.31	Facility		$1,949.84	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $549.54	Professional		$269.15	$407.38	$549.54