Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.76 / $3,908.01 / $13,841.56	Facility		$412.76	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.26 / $8.26 / $8.26	Facility	53	$8.26	$8.26	$8.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $87.00 / $231.87	Professional		$41.30	$87.00	$231.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $101.41 / $101.41	Professional		$101.41	$101.41	$101.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.41 / $1,739.33 / $3,364.42	Facility		$1,322.41	$1,739.33	$3,364.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $67.31 / $89.75	Professional		$39.49	$67.31	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $102.27 / $134.52	Professional		$51.46	$102.27	$134.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $84.68 / $1,775.00	Facility		$52.66	$84.68	$1,775.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	53	$50.00	$50.00	$50.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $104.49 / $543.00	Professional		$56.19	$104.49	$543.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.30 / $102.27 / $134.52	Facility		$82.30	$102.27	$134.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $105.78 / $134.52	Professional		$80.47	$105.78	$134.52
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 $56.19 / $99.29 / $123.59	Professional		$56.19	$99.29	$123.59