Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $2,691.53	Professional		$954.99	$1,023.29	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $1,737.80	Professional		$1,548.82	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,995.26	Facility		$1,174.90	$1,174.90	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $3,090.30	Professional		$1,174.90	$2,089.30	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $8,317.64	Facility		$1,148.15	$1,949.84	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,778.28	Professional		$588.84	$891.25	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,466.84	Professional		$1,949.84	$1,949.84	$4,466.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $4,466.84	Professional		$2,454.71	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $1,862.09	Facility		$616.60	$933.25	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,348.96	Professional		$588.84	$891.25	$1,348.96