Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $286.00 / $674.35	Facility		$98.11	$286.00	$674.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $630.85	Professional		$64.75	$64.75	$630.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $49.06	Professional		$49.06	$49.06	$49.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $96.21 / $187.61	Facility		$73.73	$96.21	$187.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $149.13 / $160.90	Professional		$74.56	$149.13	$160.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $204.00 / $204.00	Facility		$204.00	$204.00	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $140.94 / $222.77	Professional		$78.89	$140.94	$222.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $151.62 / $466.02	Facility		$64.75	$151.62	$466.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $58.87 / $196.22	Professional		$52.59	$58.87	$196.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $143.13 / $251.16	Facility		$78.89	$143.13	$251.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $176.60 / $256.07	Professional		$117.73	$176.60	$256.07
United Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $117.73	Facility		$98.11	$98.11	$117.73
United Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $58.87 / $196.22	Professional		$52.59	$58.87	$196.22