Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.33 / $3,388.54 / $12,765.09	Facility		$225.33	$3,388.54	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $528.46 / $1,061.91 / $1,631.34	Facility	50	$528.46	$1,061.91	$1,631.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $225.33 / $783.81	Professional		$54.79	$225.33	$783.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.45 / $258.81 / $604.32	Professional	50	$81.45	$258.81	$604.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $128.99 / $431.33	Professional		$109.59	$128.99	$431.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $193.49 / $193.49 / $193.49	Professional	50	$193.49	$193.49	$193.49
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 $57.57 / $130.84 / $454.06	Professional		$57.57	$130.84	$454.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $331.00 / $555.85	Professional		$113.29	$331.00	$555.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $266.43 / $455.57	Facility		$64.42	$266.43	$455.57
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,447.86 / $7,447.86 / $7,447.86	Facility	50	$7,447.86	$7,447.86	$7,447.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $361.90 / $894.79	Professional		$209.38	$361.90	$894.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $376.26 / $611.29	Facility		$112.70	$376.26	$611.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $329.85 / $554.95	Professional		$114.14	$329.85	$554.95
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 $204.43 / $367.43 / $526.30	Professional		$204.43	$367.43	$526.30