Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.52 / $2,834.13 / $12,036.14	Facility		$134.52	$2,834.13	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $231.87 / $612.00	Professional		$108.20	$231.87	$612.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $180.81 / $314.13	Professional		$163.06	$180.81	$314.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.55 / $947.72 / $1,833.19	Facility		$720.55	$947.72	$1,833.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $197.62 / $275.41	Professional		$112.02	$197.62	$275.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.86 / $102.86 / $102.86	Facility		$102.86	$102.86	$102.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $315.43 / $410.00	Professional		$198.00	$315.43	$410.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.07 / $210.24 / $437.00	Facility		$121.07	$210.24	$437.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $281.26 / $873.60	Professional		$174.94	$281.26	$873.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $271.32 / $408.09	Facility		$116.70	$271.32	$408.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $323.32 / $408.09	Professional		$222.05	$323.32	$408.09
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 $171.50 / $289.33 / $376.80	Professional		$171.50	$289.33	$376.80