Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $309.03	Professional		$77.62	$100.00	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $194.98	Professional		$69.18	$104.71	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $263.03	Professional		$131.83	$154.88	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $194.98 / $275.42	Professional		$74.13	$194.98	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $194.98	Professional		$87.10	$141.25	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $288.40	Professional		$162.18	$173.78	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $186.21	Professional		$64.57	$134.90	$186.21