Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,348.96	Facility		$537.03	$831.76	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $407.38 / $870.96	Professional		$181.97	$407.38	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $380.19	Professional		$151.36	$223.87	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,995.26	Facility		$776.25	$1,023.29	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $363.08	Professional		$323.59	$346.74	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $562.34	Professional		$263.03	$436.52	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $309.03 / $870.96	Facility		$162.18	$309.03	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $457.09	Professional		$218.78	$354.81	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $660.69	Professional		$363.08	$416.87	$660.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $446.68	Professional		$436.52	$436.52	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $478.63	Professional		$218.78	$295.12	$478.63