Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,801.89 / $11,481.54	Facility		$275.42	$3,801.89	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	50	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $616.60	Professional		$109.65	$213.80	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $234.42 / $933.25	Professional	50	$154.88	$234.42	$933.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,162.28	Facility		$1,230.27	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $257.04	Professional		$114.82	$186.21	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $398.11	Professional		$251.19	$295.12	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $1,230.27	Facility		$109.65	$208.93	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $870.96	Professional		$173.78	$263.03	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $380.19	Professional		$269.15	$295.12	$380.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $354.81	Professional		$263.03	$295.12	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,230.27 / $4,466.84	Facility		$398.11	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $316.23	Professional		$151.36	$239.88	$316.23