Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $177.83	Facility		$34.67	$89.13	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $144.54	Professional		$14.13	$18.20	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $154.88	Facility		$30.20	$40.74	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $35.48	Professional		$17.38	$33.11	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $51.29	Professional		$24.55	$41.69	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $123.03	Facility		$12.88	$33.88	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $23.99	Professional		$9.77	$12.88	$23.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $54.95	Professional		$26.30	$44.67	$54.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.50 / $39.81	Facility		$9.77	$19.50	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.88 / $23.99	Professional		$12.30	$12.88	$23.99