Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $2,912.34 / $12,036.14	Facility		$84.30	$2,912.34	$12,036.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $728.08 / $1,412.06 / $3,242.60	Facility	50	$728.08	$1,412.06	$3,242.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $86.09 / $409.00	Professional		$47.48	$86.09	$409.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.22 / $182.14 / $389.95	Professional	50	$70.22	$182.14	$389.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $111.57 / $168.46	Professional		$94.79	$111.57	$168.46
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $252.68 / $252.68 / $297.44	Professional	50	$252.68	$252.68	$297.44
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 $49.84 / $96.29 / $172.88	Professional		$49.84	$96.29	$172.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $158.84 / $254.58	Professional		$91.48	$158.84	$254.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $130.24 / $230.12	Facility		$54.60	$130.24	$230.12
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,609.16 / $3,609.16 / $3,609.16	Facility	50	$3,609.16	$3,609.16	$3,609.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $181.70 / $483.00	Professional		$109.50	$181.70	$483.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $105.55 / $105.55 / $105.55	Professional	50	$105.55	$105.55	$105.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $170.32 / $254.58	Facility		$110.63	$170.32	$254.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $158.84 / $254.58	Professional		$106.62	$158.84	$254.58
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 $109.50 / $181.70 / $235.84	Professional		$109.50	$181.70	$235.84