Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,786.30 / $12,589.25	Facility		$630.96	$4,786.30	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility	50	$7,079.46	$7,079.46	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $1,318.26	Professional		$213.80	$371.54	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional	50	$1,023.29	$1,023.29	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,606.93 / $12,882.50	Facility		$5,128.61	$6,606.93	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $588.84	Professional		$229.09	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $562.34 / $891.25	Professional		$275.42	$562.34	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $4,677.35	Facility		$275.42	$501.19	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,479.11	Professional		$416.87	$616.60	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $891.25	Professional		$467.74	$660.69	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $660.69	Professional		$436.52	$436.52	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $8,128.31	Facility		$2,041.74	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $741.31	Professional		$288.40	$446.68	$741.31