Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $3,795.64 / $12,765.09	Facility		$412.25	$3,795.64	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,123.82 / $3,078.00 / $5,586.90	Facility	50	$2,123.82	$3,078.00	$5,586.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $418.39 / $1,115.76	Professional		$178.36	$418.39	$1,115.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $268.17 / $805.11 / $1,712.46	Professional	50	$268.17	$805.11	$1,712.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $804.75 / $1,660.34	Professional		$360.82	$804.75	$1,660.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $637.09 / $637.09 / $637.09	Professional	50	$637.09	$637.09	$637.09
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 $189.69 / $396.16 / $838.01	Professional		$189.69	$396.16	$838.01
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 $376.07 / $597.00 / $1,201.18	Professional		$376.07	$597.00	$1,201.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $672.98 / $1,497.00	Facility		$210.91	$672.98	$1,497.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,129.88 / $6,382.99 / $7,447.86	Facility	50	$1,129.88	$6,382.99	$7,447.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.42 / $880.51 / $1,659.61	Professional		$509.42	$880.51	$1,659.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $476.80 / $946.13 / $1,664.87	Facility		$476.80	$946.13	$1,664.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $802.66 / $1,114.52	Professional		$419.94	$802.66	$1,114.52
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 $509.42 / $898.32 / $1,097.21	Professional		$509.42	$898.32	$1,097.21