Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $4,241.22 / $13,841.56	Facility		$137.00	$4,241.22	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $182.43 / $623.79	Professional		$109.46	$182.43	$623.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $205.50 / $461.79 / $1,160.29	Professional	50	$205.50	$461.79	$1,160.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.91 / $315.91 / $315.91	Professional		$315.91	$315.91	$315.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,231.10 / $1,606.29 / $3,132.14	Facility		$1,231.10	$1,606.29	$3,132.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $202.25 / $275.63	Professional		$115.84	$202.25	$275.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.34 / $136.34 / $136.34	Facility		$136.34	$136.34	$136.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $335.79 / $419.74	Professional		$261.48	$335.79	$419.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $232.90 / $1,242.00	Facility		$131.35	$232.90	$1,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $301.77 / $401.97	Professional		$193.02	$301.77	$401.97
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $402.86 / $402.86 / $402.86	Professional	50	$402.86	$402.86	$402.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.07 / $274.27 / $390.05	Facility		$155.07	$274.27	$390.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.11 / $302.33 / $390.32	Professional		$229.11	$302.33	$390.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.31 / $311.60 / $393.01	Professional		$223.31	$311.60	$393.01