Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $3,162.28	Professional		$302.00	$407.38	$3,162.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $616.60	Professional		$407.38	$478.63	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $616.60	Professional		$562.34	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $707.95	Facility		$457.09	$457.09	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,174.90	Professional		$457.09	$794.33	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $3,090.30	Facility		$407.38	$707.95	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $630.96	Professional		$208.93	$398.11	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,584.89	Professional		$691.83	$691.83	$1,584.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $1,584.89	Professional		$870.96	$1,584.89	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $707.95	Facility		$281.84	$457.09	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $478.63	Professional		$239.88	$316.23	$478.63