Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.80 / $5,463.36 / $13,841.56	Facility		$587.80	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.16 / $20.16 / $99.37	Facility	52	$20.16	$20.16	$99.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $103.20 / $369.45	Professional		$40.32	$103.20	$369.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $75.54 / $75.54	Professional		$74.38	$75.54	$75.54
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 $42.24 / $96.00 / $396.16	Professional		$42.24	$96.00	$396.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $280.33 / $563.29	Professional		$83.40	$280.33	$563.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $337.84 / $595.90	Facility		$60.48	$337.84	$595.90
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $228.34 / $228.34 / $228.34	Facility	52	$228.34	$228.34	$228.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $425.39 / $2,111.16	Professional		$261.54	$425.39	$2,111.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $390.27 / $563.29	Facility		$95.88	$390.27	$563.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $358.68 / $513.95	Professional		$83.73	$358.68	$513.95
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 $261.54 / $436.98 / $513.32	Professional		$261.54	$436.98	$513.32