Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.98 / $3,588.88 / $12,036.14	Facility		$215.98	$3,588.88	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $215.98 / $444.79	Professional		$79.84	$215.98	$444.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $141.56 / $197.71	Professional		$128.09	$141.56	$197.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.60 / $1,983.18 / $3,108.73	Facility		$1,532.60	$1,983.18	$3,108.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $188.44 / $419.61	Professional		$83.29	$188.44	$419.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $413.36 / $742.67	Professional		$187.23	$413.36	$742.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.66 / $229.22 / $899.25	Facility		$81.66	$229.22	$899.25
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $306.41 / $306.41 / $306.41	Facility	52	$306.41	$306.41	$306.41
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $76.59 / $76.59 / $76.59	Facility	53	$76.59	$76.59	$76.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $534.87 / $732.45	Professional		$315.86	$534.87	$732.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.91 / $513.69 / $753.33	Facility		$207.91	$513.69	$753.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $413.36 / $742.67	Professional		$184.14	$413.36	$742.67
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 $340.16 / $534.87 / $596.01	Professional		$340.16	$534.87	$596.01