Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,801.89 / $11,481.54	Facility		$1,445.44	$3,801.89	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,698.24	Professional		$562.34	$831.76	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,398.83	Professional	50	$2,290.87	$2,290.87	$2,398.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional	54	$1,288.25	$1,288.25	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,023.29 / $1,621.81	Professional		$389.05	$1,023.29	$1,621.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional	50	$2,290.87	$2,290.87	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,951.21	Facility		$1,148.15	$1,513.56	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,318.26	Professional		$588.84	$977.24	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,041.74	Professional		$1,288.25	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $4,265.80	Facility		$645.65	$1,174.90	$4,265.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	54	$1,905.46	$1,905.46	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $4,466.84	Professional		$933.25	$1,318.26	$4,466.84
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional	54	$1,071.52	$1,071.52	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,995.26	Professional		$1,412.54	$1,584.89	$1,995.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,862.09	Professional		$1,348.96	$1,548.82	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $8,128.31	Facility		$1,230.27	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,621.81	Professional		$776.25	$1,258.93	$1,621.81