Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $109.70 / $235.00	Facility		$33.75	$109.70	$235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $22.09 / $67.13	Professional		$17.03	$22.09	$67.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $12.91 / $17.93	Professional		$12.91	$12.91	$17.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.40 / $76.83	Facility		$30.20	$39.40	$76.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $39.22 / $42.32	Professional		$19.62	$39.22	$42.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $138.00 / $138.00	Facility		$138.00	$138.00	$138.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $31.62 / $58.75	Professional		$25.49	$31.62	$58.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $86.83 / $182.36	Facility		$28.46	$86.83	$182.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $51.62	Professional		$15.49	$15.49	$51.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $52.58 / $80.91	Facility		$31.62	$52.58	$80.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $57.00 / $74.36	Professional		$31.00	$57.00	$74.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $15.49 / $51.62	Professional		$11.61	$15.49	$51.62