Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,041.74 / $8,511.38	Facility		$125.89	$2,041.74	$8,511.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	52	$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $151.36 / $467.74	Professional		$61.66	$151.36	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $114.82	Professional		$50.12	$81.28	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,801.89	Facility		$1,513.56	$1,949.84	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $269.15	Professional		$69.18	$128.82	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $338.84	Professional		$112.20	$177.83	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $199.53 / $1,318.26	Facility		$74.13	$199.53	$1,318.26
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	52	$234.42	$234.42	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $1,148.15	Professional		$151.36	$275.42	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $389.05	Professional		$141.25	$269.15	$389.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $389.05	Professional		$134.90	$190.55	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $6,309.57	Facility		$870.96	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $331.13	Professional		$77.62	$158.49	$331.13