Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $691.83	Facility		$194.98	$239.88	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $537.03	Professional		$61.66	$81.28	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $100.00 / $537.03	Facility		$74.13	$100.00	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $194.98	Professional		$173.78	$181.97	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $263.03	Professional		$138.04	$208.93	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $134.90 / $446.68	Facility		$56.23	$134.90	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $229.09	Professional		$39.81	$56.23	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $95.50 / $234.42	Facility		$39.81	$95.50	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $190.55	Professional		$39.81	$56.23	$190.55