Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,079.46 / $13,182.57	Facility		$1,288.25	$7,079.46	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,698.24	Professional		$426.58	$691.83	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $616.60 / $616.60	Professional	50	$223.87	$616.60	$616.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	50	$616.60	$616.60	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,606.93 / $12,882.50	Facility		$5,128.61	$6,606.93	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,202.26	Professional		$489.78	$831.76	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,819.70	Professional		$1,000.00	$1,380.38	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,000.00 / $4,265.80	Facility		$426.58	$1,000.00	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $3,981.07	Professional		$812.83	$1,174.90	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,778.28	Professional		$1,071.52	$1,412.54	$1,778.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,445.44	Professional		$1,000.00	$1,380.38	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $8,128.31	Facility		$2,951.21	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,479.11	Professional		$645.65	$1,000.00	$1,479.11