Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $5,011.87 / $12,589.25	Facility		$549.54	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $1,023.29	Professional		$173.78	$251.19	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $12,589.25	Facility		$5,011.87	$6,456.54	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $489.78	Professional		$194.98	$338.84	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $741.31	Professional		$239.88	$457.09	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $338.84 / $1,096.48	Facility		$218.78	$338.84	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $1,905.46	Professional		$275.42	$467.74	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $691.83	Professional		$426.58	$537.03	$691.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $812.83	Professional		$416.87	$562.34	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $6,309.57	Facility		$1,096.48	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $588.84	Professional		$223.87	$371.54	$588.84