Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $123.23 / $195.84	Facility		$25.49	$123.23	$195.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $16.39 / $52.00	Professional		$12.14	$16.39	$52.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $12.78	Professional		$9.19	$9.19	$12.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $58.64 / $114.35	Facility		$44.95	$58.64	$114.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $27.94 / $30.16	Professional		$13.97	$27.94	$30.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Facility		$149.00	$149.00	$149.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $22.53 / $41.62	Professional		$18.21	$22.53	$41.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $77.94 / $148.80	Facility		$21.85	$77.94	$148.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $36.78	Professional		$11.03	$11.03	$36.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $37.47 / $57.65	Facility		$22.53	$37.47	$57.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $40.88 / $52.98	Professional		$22.09	$40.88	$52.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $11.03 / $36.78	Professional		$10.48	$11.03	$36.78