Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.71 / $2,912.34 / $12,036.14	Facility		$121.71	$2,912.34	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.06 / $60.86 / $590.00	Facility	52	$28.06	$60.86	$590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $137.88 / $356.76	Professional		$56.12	$137.88	$356.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $105.54 / $133.94	Professional		$105.54	$105.54	$133.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,507.81 / $1,983.18 / $3,836.12	Facility		$1,507.81	$1,983.18	$3,836.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $128.22 / $268.52	Professional		$59.47	$128.22	$268.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.63 / $557.63 / $557.63	Facility		$557.63	$557.63	$557.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $239.00 / $389.53	Professional		$117.91	$239.00	$389.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $180.34 / $966.94	Facility		$69.14	$180.34	$966.94
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $233.74 / $233.74	Facility	52	$233.74	$233.74	$233.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $289.91 / $568.83	Professional		$169.77	$289.91	$568.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $335.08 / $706.33	Facility		$157.33	$335.08	$706.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $282.00 / $354.99	Professional		$142.27	$282.00	$354.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $295.37 / $365.65	Professional		$169.77	$295.37	$365.65