Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.82 / $2,912.34 / $12,036.14	Facility		$163.82	$2,912.34	$12,036.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $513.00 / $2,250.36 / $3,611.00	Facility	50	$513.00	$2,250.36	$3,611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $163.82 / $428.23	Professional		$83.38	$163.82	$428.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.82 / $339.48 / $713.91	Professional	50	$122.82	$339.48	$713.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.49 / $328.53 / $371.94	Professional		$169.49	$328.53	$371.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $492.79 / $580.07 / $1,115.82	Professional	50	$492.79	$580.07	$1,115.82
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 $88.96 / $174.46 / $337.01	Professional		$88.96	$174.46	$337.01
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 $172.95 / $278.76 / $500.61	Professional		$172.95	$278.76	$500.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $253.57 / $1,317.94	Facility		$99.28	$253.57	$1,317.94
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,447.61 / $3,609.16 / $4,336.50	Facility	50	$1,447.61	$3,609.16	$4,336.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $361.87 / $776.25	Professional		$212.89	$361.87	$776.25
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $278.02 / $278.02 / $278.02	Professional	50	$278.02	$278.02	$278.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.66 / $387.18 / $860.29	Facility		$200.66	$387.18	$860.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $293.72 / $500.61	Professional		$198.70	$293.72	$500.61
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 $212.89 / $365.97 / $458.53	Professional		$212.89	$365.97	$458.53