Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Facility		$169.82	$169.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $776.25	Professional		$141.25	$257.04	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $309.03	Professional		$186.21	$234.42	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $302.00	Professional		$275.42	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $346.74	Facility		$186.21	$194.98	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $602.56	Professional		$186.21	$363.08	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $1,621.81	Facility		$199.53	$354.81	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $309.03	Professional		$104.71	$154.88	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $776.25	Professional		$338.84	$436.52	$776.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $776.25	Professional		$436.52	$602.56	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $181.97 / $363.08	Facility		$120.23	$181.97	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $245.47	Professional		$104.71	$154.88	$245.47