Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,388.44 / $8,511.38	Facility		$549.54	$3,388.44	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,090.30 / $4,466.84	Facility	50	$3,090.30	$3,090.30	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $977.24	Professional		$117.49	$251.19	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $436.52 / $436.52	Professional	50	$35.48	$436.52	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 $138.04 / $239.88 / $467.74	Professional		$138.04	$239.88	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $588.84	Professional		$134.90	$346.74	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $302.00 / $1,096.48	Facility		$144.54	$302.00	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $1,862.09	Professional		$269.15	$426.58	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $575.44	Professional		$218.78	$309.03	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $776.25	Professional		$269.15	$363.08	$776.25
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 $147.91 / $295.12 / $575.44	Professional		$147.91	$295.12	$575.44