Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $4,778.89 / $13,841.56	Facility		$662.00	$4,778.89	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $103.40 / $470.00	Professional		$33.14	$103.40	$470.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $77.12 / $215.32	Professional		$58.55	$77.12	$215.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.78 / $448.29 / $841.55	Facility		$330.78	$448.29	$841.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $78.31 / $224.16	Professional		$34.46	$78.31	$224.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $163.79 / $334.78	Professional		$68.30	$163.79	$334.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $187.97 / $311.89	Facility		$49.71	$187.97	$311.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $243.94 / $878.88	Professional		$147.50	$243.94	$878.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $208.92 / $334.78	Facility		$86.69	$208.92	$334.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $207.56 / $322.54	Professional		$75.69	$207.56	$322.54
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 $147.50 / $243.94 / $291.77	Professional		$147.50	$243.94	$291.77