Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.22 / $3,398.27 / $12,765.09	Facility		$385.22	$3,398.27	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $957.67 / $1,817.21 / $1,817.21	Facility	50	$957.67	$1,817.21	$1,817.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $123.23 / $285.00	Professional		$85.07	$123.23	$285.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $152.18 / $182.48 / $349.62	Professional	50	$152.18	$182.48	$349.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $131.88 / $210.00	Professional		$45.59	$131.88	$210.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $124.14 / $281.52 / $370.79	Professional	50	$124.14	$281.52	$370.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,231.10 / $1,606.29 / $3,132.14	Facility		$1,231.10	$1,606.29	$3,132.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $156.31 / $213.00	Professional		$89.93	$156.31	$213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $87.83 / $87.83	Facility		$87.83	$87.83	$87.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.53 / $260.22 / $325.27	Professional		$203.53	$260.22	$325.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $200.43 / $1,242.00	Facility		$102.08	$200.43	$1,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $225.83 / $284.55	Professional		$144.06	$225.83	$284.55
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $124.46 / $215.07 / $374.95	Professional	50	$124.46	$215.07	$374.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $211.95 / $303.95	Facility		$98.32	$211.95	$303.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $236.02 / $344.13	Professional		$178.28	$236.02	$344.13
United Facility/Professional Facility Modifier Low / Median / High Price $258.60 / $1,242.00 / $4,406.00	Facility		$258.60	$1,242.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $223.81 / $272.48	Professional		$172.87	$223.81	$272.48