Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $4,073.80	Professional		$489.78	$645.65	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $977.24	Professional		$891.25	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,122.02	Facility		$588.84	$588.84	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,778.28	Professional		$588.84	$1,096.48	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $4,786.30	Facility		$645.65	$1,122.02	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $1,071.52	Professional		$331.13	$616.60	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,511.89	Professional		$1,096.48	$1,380.38	$2,511.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,511.89	Professional		$1,380.38	$1,778.28	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,071.52	Facility		$416.87	$707.95	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $776.25	Professional		$380.19	$501.19	$776.25