Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,549.93 / $15,488.17	Facility		$5,370.32	$9,549.93	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $2,511.89	Professional		$1,096.48	$2,041.74	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,698.24	Professional		$851.14	$954.99	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $7,762.47 / $15,135.61	Facility		$5,888.44	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,290.87	Professional		$954.99	$1,621.81	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,090.30	Professional		$1,995.26	$2,398.83	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $8,912.51	Facility		$954.99	$2,238.72	$8,912.51
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	AS	$1,122.02	$1,122.02	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,890.45	Professional		$1,479.11	$2,137.96	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,162.28	Professional		$1,995.26	$2,398.83	$3,162.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,162.28	Professional		$1,995.26	$2,290.87	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,606.93 / $8,912.51	Facility		$5,128.61	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $2,754.23	Professional		$1,348.96	$2,041.74	$2,754.23