Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.54 / $3,795.64 / $12,036.14	Facility		$408.54	$3,795.64	$12,036.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,459.78 / $2,459.78 / $5,895.68	Facility	50	$2,459.78	$2,459.78	$5,895.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.05 / $414.81 / $1,132.58	Professional		$178.05	$414.81	$1,132.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.75 / $1,252.97 / $1,781.15	Professional	50	$407.75	$1,252.97	$1,781.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,660.34 / $1,660.34 / $1,660.34	Professional		$1,660.34	$1,660.34	$1,660.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $636.35 / $636.35 / $636.35	Professional	50	$636.35	$636.35	$636.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,973.60 / $6,541.64 / $12,653.65	Facility		$4,973.60	$6,541.64	$12,653.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.37 / $393.05 / $831.11	Professional		$189.37	$393.05	$831.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.40 / $1,387.40 / $1,387.40	Facility		$1,387.40	$1,387.40	$1,387.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.42 / $608.00 / $1,214.18	Professional		$375.42	$608.00	$1,214.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.77 / $674.09 / $2,430.87	Facility		$210.77	$674.09	$2,430.87
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $11,360.00 / $11,360.00 / $11,360.00	Facility	50	$11,360.00	$11,360.00	$11,360.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.63 / $889.52 / $1,646.13	Professional		$514.63	$889.52	$1,646.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $476.80 / $938.14 / $1,664.87	Facility		$476.80	$938.14	$1,664.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $811.35 / $1,119.50	Professional		$419.94	$811.35	$1,119.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.63 / $878.83 / $1,108.44	Professional		$514.63	$878.83	$1,108.44