Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,801.89 / $12,589.25	Facility		$331.13	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $537.03	Professional		$91.20	$162.18	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
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 $112.20 / $186.21 / $316.23	Professional		$112.20	$186.21	$316.23
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 $165.96 / $281.84 / $467.74	Professional		$165.96	$281.84	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $1,023.29	Facility		$114.82	$204.17	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $741.31	Professional		$173.78	$323.59	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $478.63	Professional		$213.80	$309.03	$478.63
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 $213.80 / $309.03 / $512.86	Professional		$213.80	$309.03	$512.86
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 $123.03 / $218.78 / $398.11	Professional		$123.03	$218.78	$398.11