Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,801.89 / $12,589.25	Facility		$426.58	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $478.63	Professional		$77.62	$208.93	$478.63
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 $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 $97.72 / $173.78 / $346.74	Professional		$97.72	$173.78	$346.74
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 $141.25 / $331.13 / $537.03	Professional		$141.25	$331.13	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $213.80 / $870.96	Facility		$104.71	$213.80	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $1,412.54	Professional		$204.17	$354.81	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $524.81	Professional		$186.21	$331.13	$524.81
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 $190.55 / $275.42 / $537.03	Professional		$190.55	$275.42	$537.03
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 $104.71 / $213.80 / $416.87	Professional		$104.71	$213.80	$416.87