Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,106.54 / $10,977.72 / $24,068.03	Facility		$5,106.54	$10,977.72	$24,068.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.76 / $2,069.57 / $3,035.34	Professional		$1,100.76	$2,069.57	$3,035.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,381.54 / $1,672.54 / $2,589.42	Professional		$1,381.54	$1,672.54	$2,589.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,949.08 / $7,762.05 / $15,135.42	Facility		$5,949.08	$7,762.05	$15,135.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.65 / $1,813.04 / $2,417.38	Professional		$1,063.65	$1,813.04	$2,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.50 / $3,141.50 / $3,141.50	Facility		$3,141.50	$3,141.50	$3,141.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,308.94 / $2,700.36 / $3,585.26	Professional		$2,308.94	$2,700.36	$3,585.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.79 / $3,485.24 / $9,653.95	Facility		$1,108.79	$3,485.24	$9,653.95
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,125.97 / $1,125.97 / $1,125.97	Facility	AS	$1,125.97	$1,125.97	$1,125.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,707.96 / $2,424.00 / $4,442.88	Professional		$1,707.96	$2,424.00	$4,442.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $3,141.50 / $4,188.66	Facility		$1,932.00	$3,141.50	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,849.65 / $2,754.53 / $3,305.26	Professional		$1,849.65	$2,754.53	$3,305.26
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 $1,912.72 / $2,653.49 / $3,342.14	Professional		$1,912.72	$2,653.49	$3,342.14