Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.79 / $2,943.00 / $12,036.14	Facility		$177.79	$2,943.00	$12,036.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,617.32 / $2,250.36 / $3,795.64	Facility	50	$1,617.32	$2,250.36	$3,795.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $191.25 / $484.52	Professional		$97.35	$191.25	$484.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.06 / $564.74 / $815.38	Professional	50	$147.06	$564.74	$815.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.94 / $371.94 / $420.00	Professional		$371.94	$371.94	$420.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $535.21 / $535.21 / $535.21	Professional	50	$535.21	$535.21	$535.21
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 $103.50 / $199.94 / $366.32	Professional		$103.50	$199.94	$366.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.91 / $716.91 / $716.91	Facility		$716.91	$716.91	$716.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.12 / $330.05 / $549.95	Professional		$190.12	$330.05	$549.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $283.42 / $990.50	Facility		$115.36	$283.42	$990.50
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,966.90 / $1,966.90 / $1,966.90	Facility	50	$1,966.90	$1,966.90	$1,966.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.58 / $398.89 / $1,012.00	Professional		$233.58	$398.89	$1,012.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $419.22 / $860.29	Facility		$229.97	$419.22	$860.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.51 / $326.18 / $549.95	Professional		$221.51	$326.18	$549.95
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 $233.58 / $368.66 / $498.60	Professional		$233.58	$368.66	$498.60