Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $3,259.25 / $12,765.09	Facility		$90.21	$3,259.25	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,083.15 / $1,180.68 / $3,611.00	Facility	50	$1,083.15	$1,180.68	$3,611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $102.43 / $315.93	Professional		$54.94	$102.43	$315.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.28 / $279.45 / $320.35	Professional	50	$87.28	$279.45	$320.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.08 / $213.08 / $213.08	Professional		$213.08	$213.08	$213.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $271.52 / $271.52 / $271.52	Professional	50	$271.52	$271.52	$271.52
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 $58.00 / $112.06 / $184.90	Professional		$58.00	$112.06	$184.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $182.15 / $280.48	Professional		$107.10	$182.15	$280.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $142.87 / $269.47	Facility		$64.98	$142.87	$269.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $197.38 / $575.00	Professional		$117.69	$197.38	$575.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $182.45 / $274.62	Facility		$129.56	$182.45	$274.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $182.15 / $274.62	Professional		$119.00	$182.15	$274.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $200.98 / $253.48	Professional		$117.69	$200.98	$253.48