Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $3,398.27 / $12,765.09	Facility		$83.84	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $113.10 / $409.34	Professional		$62.80	$113.10	$409.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $147.19 / $199.95	Professional		$147.19	$147.19	$199.95
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 $66.31 / $121.03 / $173.30	Professional		$66.31	$121.03	$173.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $188.93 / $263.02	Professional		$127.00	$188.93	$263.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $138.34 / $314.87	Facility		$74.33	$138.34	$314.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $186.42 / $510.56	Professional		$111.70	$186.42	$510.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $189.95 / $263.02	Facility		$149.77	$189.95	$263.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $186.70 / $263.02	Professional		$138.22	$186.70	$263.02
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 $111.70 / $184.73 / $240.58	Professional		$111.70	$184.73	$240.58