Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $19.05 / $64.57	Facility		$6.92	$19.05	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $28.18	Professional		$2.00	$3.98	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $47.86	Facility		$19.05	$25.12	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.76 / $7.41	Professional		$3.55	$6.76	$7.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.91 / $11.22	Professional		$5.37	$8.91	$11.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $7.08 / $79.43	Facility		$2.69	$7.08	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.69 / $8.51	Professional		$2.04	$2.69	$8.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.33 / $11.48	Professional		$5.50	$9.33	$11.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.07 / $8.32	Facility		$2.04	$4.07	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.69 / $4.90	Professional		$2.51	$2.69	$4.90