Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.36 / $655.36 / $655.36	Facility		$655.36	$655.36	$655.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.22 / $655.36 / $1,530.00	Professional		$617.22	$655.36	$1,530.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,530.00	Professional		$1,530.00	$1,530.00	$1,530.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.22 / $993.53 / $1,003.58	Professional		$903.22	$993.53	$1,003.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $773.33 / $1,130.44	Facility		$700.00	$773.33	$1,130.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $1,130.44 / $1,743.16	Professional		$700.00	$1,130.44	$1,743.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $565.64 / $1,127.13 / $5,530.59	Facility		$565.64	$1,127.13	$5,530.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.26 / $512.69 / $980.00	Professional		$391.26	$512.69	$980.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,127.13 / $1,130.44 / $1,561.18	Facility		$1,127.13	$1,130.44	$1,561.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.53 / $1,354.83 / $2,328.89	Professional		$1,023.53	$1,354.83	$2,328.89
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.26 / $512.69 / $771.53	Professional		$391.26	$512.69	$771.53