Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.30 / $682.30 / $682.30	Facility		$682.30	$682.30	$682.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.30 / $682.30 / $682.30	Professional		$682.30	$682.30	$682.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $802.44	Professional		$716.85	$716.85	$802.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.36 / $1,034.39 / $1,044.83	Professional		$940.36	$1,034.39	$1,044.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $1,176.91 / $1,176.91	Facility		$731.38	$1,176.91	$1,176.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.38 / $1,176.91 / $1,814.80	Professional		$731.38	$1,176.91	$1,814.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.66 / $1,171.10 / $5,006.71	Facility		$538.66	$1,171.10	$5,006.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.20 / $533.77 / $967.63	Professional		$369.20	$533.77	$967.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,173.46 / $1,176.91 / $1,482.85	Facility		$1,173.46	$1,176.91	$1,482.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,390.90 / $2,424.59	Professional		$1,050.00	$1,390.90	$2,424.59
United Facility/Professional Professional Modifier Low / Median / High Price $386.98 / $533.77 / $723.00	Professional		$386.98	$533.77	$723.00