Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.04 / $8,355.33 / $19,276.96	Facility		$548.04	$8,355.33	$19,276.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,624.52 / $4,624.52 / $4,624.52	Facility	50	$4,624.52	$4,624.52	$4,624.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.96 / $698.31 / $2,402.10	Professional		$419.96	$698.31	$2,402.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $992.77 / $992.77 / $992.77	Professional		$992.77	$992.77	$992.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,104.22 / $6,659.73 / $12,985.98	Facility		$5,104.22	$6,659.73	$12,985.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.60 / $786.11 / $1,107.06	Professional		$445.60	$786.11	$1,107.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $1,539.00 / $1,539.00	Facility		$1,539.00	$1,539.00	$1,539.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.85 / $1,297.03 / $1,695.52	Professional		$1,004.85	$1,297.03	$1,695.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.95 / $931.69 / $4,217.00	Facility		$503.95	$931.69	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $804.94 / $1,181.40 / $1,570.57	Professional		$804.94	$1,181.40	$1,570.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $985.43 / $1,335.75 / $1,908.09	Facility		$985.43	$1,335.75	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $883.35 / $1,168.42 / $1,569.69	Professional		$883.35	$1,168.42	$1,569.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.24 / $1,236.34 / $1,538.57	Professional		$824.24	$1,236.34	$1,538.57