Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.81 / $3,795.64 / $12,036.14	Facility		$239.81	$3,795.64	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $239.81 / $716.62	Professional		$62.22	$239.81	$716.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.74 / $287.30 / $664.10	Professional	50	$229.74	$287.30	$664.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $220.35 / $220.35 / $220.35	Professional	50	$220.35	$220.35	$220.35
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 $65.73 / $149.41 / $483.63	Professional		$65.73	$149.41	$483.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $360.63 / $592.08	Professional		$130.29	$360.63	$592.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $275.77 / $468.17	Facility		$62.22	$275.77	$468.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $397.22 / $954.56	Professional		$229.81	$397.22	$954.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.69 / $418.09 / $649.73	Facility		$127.69	$418.09	$649.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $362.97 / $587.91	Professional		$130.32	$362.97	$587.91
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 $229.81 / $406.60 / $576.50	Professional		$229.81	$406.60	$576.50