Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.63 / $1,747.69 / $8,477.27	Facility		$239.63	$1,747.69	$8,477.27
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.34 / $18.34 / $48.17	Facility	53	$18.34	$18.34	$48.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $250.50 / $590.87	Professional		$91.72	$250.50	$590.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.50 / $471.50 / $471.50	Professional		$471.50	$471.50	$471.50
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 $97.59 / $220.02 / $489.92	Professional		$97.59	$220.02	$489.92
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 $193.47 / $459.15 / $745.01	Professional		$193.47	$459.15	$745.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.65 / $397.40 / $1,880.00	Facility		$114.65	$397.40	$1,880.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $89.92 / $89.92 / $89.92	Facility	53	$89.92	$89.92	$89.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $503.35 / $970.67	Professional		$313.25	$503.35	$970.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.29 / $555.13 / $743.50	Facility		$232.29	$555.13	$743.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.63 / $424.08 / $714.91	Professional		$225.63	$424.08	$714.91
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 $313.25 / $518.05 / $655.86	Professional		$313.25	$518.05	$655.86