Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $8,477.27 / $20,928.72	Facility		$73.63	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $121.78 / $411.25	Professional		$73.63	$121.78	$411.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.17 / $324.57 / $340.57	Professional	50	$275.17	$324.57	$340.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $87.36 / $208.69	Professional		$87.36	$87.36	$208.69
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 $78.68 / $134.11 / $182.18	Professional		$78.68	$134.11	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $222.82 / $278.52	Professional		$176.43	$222.82	$278.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.36 / $162.43 / $1,242.00	Facility		$88.36	$162.43	$1,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $192.81 / $336.77	Professional		$130.28	$192.81	$336.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.36 / $206.69 / $257.01	Facility		$157.36	$206.69	$257.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $206.69 / $255.21	Professional		$134.80	$206.69	$255.21
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 $141.82 / $202.45 / $243.18	Professional		$141.82	$202.45	$243.18