Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $169.82 / $645.65	Facility		$48.98	$169.82	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $134.90	Professional		$26.92	$58.88	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $48.98	Professional		$19.05	$20.42	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $302.00	Facility		$102.33	$151.36	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $67.61	Professional		$33.11	$63.10	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $100.00	Professional		$40.74	$58.88	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $125.89 / $338.84	Facility		$46.77	$125.89	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $75.86	Professional		$18.62	$24.55	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $104.71	Professional		$50.12	$85.11	$104.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $75.86	Facility		$18.62	$37.15	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $45.71	Professional		$20.42	$24.55	$45.71