Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $10,255.42 / $23,483.17	Facility		$4,241.22	$10,255.42	$23,483.17
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $627.42 / $627.42 / $627.42	Facility	54	$627.42	$627.42	$627.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.57 / $1,070.70 / $2,074.87	Professional		$836.57	$1,070.70	$2,074.87
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $125.49 / $208.58 / $718.19	Professional	55	$125.49	$208.58	$718.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $956.31 / $956.31 / $1,048.89	Professional		$956.31	$956.31	$1,048.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,007.90 / $3,924.55 / $7,652.58	Facility		$3,007.90	$3,924.55	$7,652.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.48 / $1,378.09 / $1,837.46	Professional		$808.48	$1,378.09	$1,837.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.47 / $1,821.47 / $1,821.47	Facility		$1,821.47	$1,821.47	$1,821.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.02 / $2,056.82 / $2,725.98	Professional		$1,755.02	$2,056.82	$2,725.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $842.09 / $1,902.28 / $6,887.55	Facility		$842.09	$1,902.28	$6,887.55
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,291.31 / $1,850.87 / $2,504.19	Professional		$1,291.31	$1,850.87	$2,504.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,530.67 / $2,003.61 / $2,725.98	Facility		$1,530.67	$2,003.61	$2,725.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,381.00 / $1,862.98 / $2,381.56	Professional		$1,381.00	$1,862.98	$2,381.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.64 / $1,911.13 / $2,160.86	Professional		$1,369.64	$1,911.13	$2,160.86