Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,801.89 / $11,481.54	Facility		$173.78	$3,801.89	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $91.20 / $213.80	Professional		$36.31	$91.20	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $169.82	Professional		$114.82	$114.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,819.70	Facility		$724.44	$933.25	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $165.96	Professional		$45.71	$81.28	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $257.04	Professional		$66.07	$114.82	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $371.54	Facility		$45.71	$100.00	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $660.69	Professional		$91.20	$151.36	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $223.87	Professional		$93.33	$165.96	$223.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $275.42	Professional		$87.10	$123.03	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $4,466.84	Facility		$380.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $194.98	Professional		$50.12	$95.50	$194.98