Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $1,023.29	Professional		$309.03	$389.05	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $467.74	Professional		$288.40	$436.52	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $602.56	Professional		$537.03	$588.84	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $691.83	Facility		$371.54	$371.54	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,071.52	Professional		$371.54	$676.08	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $676.08 / $3,019.95	Facility		$389.05	$676.08	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $602.56	Professional		$204.17	$302.00	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,513.56	Professional		$676.08	$851.14	$1,513.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,513.56	Professional		$851.14	$1,071.52	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $645.65	Facility		$213.80	$331.13	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $478.63	Professional		$204.17	$302.00	$478.63