Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,801.89 / $12,589.25	Facility		$501.19	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $501.19 / $1,148.15	Professional		$223.87	$501.19	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,862.09 / $1,862.09	Professional	50	$645.65	$1,862.09	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $446.68	Professional		$229.09	$295.12	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,495.41 / $10,715.19	Facility		$4,168.69	$5,495.41	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $467.74	Professional		$208.93	$346.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $741.31	Professional		$457.09	$575.44	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $758.58 / $1,778.28	Facility		$199.53	$758.58	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $1,445.44	Professional		$407.38	$794.33	$1,445.44
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	50	$870.96	$870.96	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,230.27	Professional		$524.81	$741.31	$1,230.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $660.69	Professional		$478.63	$537.03	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $6,309.57	Facility		$676.08	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,258.93	Professional		$478.63	$794.33	$1,258.93