Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.75 / $1,303.75 / $1,303.75	Facility		$1,303.75	$1,303.75	$1,303.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.75 / $1,303.75 / $1,692.92	Professional		$1,303.75	$1,303.75	$1,692.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,737.74 / $1,737.74 / $1,737.74	Professional		$1,737.74	$1,737.74	$1,737.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,796.82 / $1,976.52 / $1,996.48	Professional		$1,796.82	$1,976.52	$1,996.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $2,248.84 / $2,248.84	Facility		$1,184.20	$2,248.84	$2,248.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.20 / $2,248.84 / $3,467.76	Professional		$1,184.20	$2,248.84	$3,467.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,080.23 / $2,237.77 / $9,758.87	Facility		$1,080.23	$2,237.77	$9,758.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $679.95 / $1,019.93 / $2,105.59	Professional		$679.95	$1,019.93	$2,105.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,242.26 / $2,248.84 / $2,833.46	Facility		$2,242.26	$2,248.84	$2,833.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,997.00 / $2,657.72 / $4,632.97	Professional		$1,997.00	$2,657.72	$4,632.97
United Facility/Professional Professional Modifier Low / Median / High Price $729.60 / $1,019.93 / $1,357.02	Professional		$729.60	$1,019.93	$1,357.02