Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,187.76 / $10,964.78	Facility		$436.52	$2,187.76	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $501.19	Professional		$79.43	$213.80	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $141.25	Professional		$89.13	$100.00	$141.25
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 / $190.55 / $416.87	Professional		$97.72	$190.55	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $660.69	Professional		$144.54	$288.40	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $323.59 / $1,778.28	Facility		$85.11	$323.59	$1,778.28
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	52	$309.03	$309.03	$309.03
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	53	$75.86	$75.86	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $1,659.59	Professional		$288.40	$524.81	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $741.31	Professional		$186.21	$416.87	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $741.31	Professional		$186.21	$288.40	$741.31
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 $120.23 / $269.15 / $575.44	Professional		$120.23	$269.15	$575.44