Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $302.00	Professional		$100.00	$100.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $120.23	Professional		$97.72	$97.72	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $2,511.89	Facility		$131.83	$245.47	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $1,778.28	Professional		$295.12	$602.56	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $691.83	Professional		$186.21	$331.13	$691.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $354.81	Professional		$239.88	$331.13	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $389.05	Facility		$288.40	$288.40	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $831.76	Professional		$371.54	$602.56	$831.76