Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $10,431.19 / $23,483.17	Facility		$4,241.22	$10,431.19	$23,483.17
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $594.35 / $594.35 / $594.35	Facility	54	$594.35	$594.35	$594.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.47 / $1,305.63 / $1,639.80	Professional		$792.47	$1,305.63	$1,639.80
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $118.87 / $118.87 / $223.43	Professional	55	$118.87	$118.87	$223.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $992.29 / $992.29 / $992.29	Professional		$992.29	$992.29	$992.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,889.38 / $7,684.16 / $14,983.55	Facility		$5,889.38	$7,684.16	$14,983.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.77 / $1,307.01 / $1,742.67	Professional		$766.77	$1,307.01	$1,742.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,644.32 / $5,644.32 / $5,644.32	Facility		$5,644.32	$5,644.32	$5,644.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.48 / $1,949.31 / $2,581.01	Professional		$1,664.48	$1,949.31	$2,581.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $792.47 / $1,505.69 / $21,343.05	Facility		$792.47	$1,505.69	$21,343.05
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $14,161.14 / $14,161.14 / $14,161.14	Facility	54	$14,161.14	$14,161.14	$14,161.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,245.83 / $1,785.70 / $2,385.19	Professional		$1,245.83	$1,785.70	$2,385.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,597.88 / $2,630.20 / $7,525.76	Facility		$1,597.88	$2,630.20	$7,525.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,597.88 / $2,026.91 / $2,581.01	Professional		$1,597.88	$2,026.91	$2,581.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $7,441.00 / $8,816.00	Facility		$6,178.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.42 / $1,830.58 / $2,325.57	Professional		$1,321.42	$1,830.58	$2,325.57