Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $467.74 / $3,890.45	Facility		$165.96	$467.74	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $407.38	Professional		$75.86	$177.83	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $213.80	Professional		$109.65	$112.20	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $4,677.35	Facility		$1,819.70	$2,290.87	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $295.12	Professional		$74.13	$151.36	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $407.38	Professional		$102.33	$204.17	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $165.96 / $416.87	Facility		$74.13	$165.96	$416.87
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	52	$309.03	$309.03	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $1,819.70	Professional		$186.21	$380.19	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $407.38	Professional		$154.88	$302.00	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $380.19	Professional		$138.04	$281.84	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $436.52 / $562.34	Facility		$407.38	$436.52	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $398.11	Professional		$89.13	$181.97	$398.11