Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.11 / $3,795.64 / $12,036.14	Facility		$136.11	$3,795.64	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $136.11 / $554.03	Professional		$94.34	$136.11	$554.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $326.58 / $326.58	Professional		$326.58	$326.58	$326.58
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 $100.83 / $188.44 / $282.67	Professional		$100.83	$188.44	$282.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $125.67 / $125.67	Facility		$125.67	$125.67	$125.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $290.08 / $409.09	Professional		$192.00	$290.08	$409.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.07 / $210.36 / $862.08	Facility		$114.07	$210.36	$862.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.36 / $282.77 / $778.32	Professional		$175.36	$282.77	$778.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $263.06 / $404.74	Facility		$138.85	$263.06	$404.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $281.81 / $409.09	Professional		$210.39	$281.81	$409.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.36 / $290.01 / $368.45	Professional		$175.36	$290.01	$368.45