Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $4,073.80	Professional		$457.09	$575.44	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $691.83	Professional		$524.81	$676.08	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $870.96	Professional		$794.33	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Facility		$501.19	$501.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,548.82	Professional		$501.19	$1,096.48	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $977.24 / $4,168.69	Facility		$575.44	$977.24	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $954.99	Professional		$302.00	$537.03	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $2,238.72	Professional		$977.24	$1,000.00	$2,238.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $2,238.72	Professional		$1,258.93	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $602.56 / $933.25	Facility		$524.81	$602.56	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $676.08	Professional		$331.13	$446.68	$676.08