Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.15 / $4,241.22 / $13,841.56	Facility		$1,506.15	$4,241.22	$13,841.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.53 / $15.53 / $35.58	Facility	53	$15.53	$15.53	$35.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $177.89 / $809.00	Professional		$77.65	$177.89	$809.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $399.85 / $399.85 / $399.85	Professional		$399.85	$399.85	$399.85
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 $80.79 / $167.69 / $353.23	Professional		$80.79	$167.69	$353.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $260.29 / $566.02	Professional		$147.21	$260.29	$566.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $292.20 / $507.16	Facility		$112.01	$292.20	$507.16
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.79 / $74.79 / $74.79	Facility	53	$74.79	$74.79	$74.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.62 / $409.00 / $1,553.44	Professional		$242.62	$409.00	$1,553.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.73 / $347.98 / $566.02	Facility		$203.73	$347.98	$566.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $371.67 / $523.95	Professional		$179.78	$371.67	$523.95
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 $242.62 / $401.28 / $519.07	Professional		$242.62	$401.28	$519.07