Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $108.00 / $293.37	Facility		$38.00	$108.00	$293.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $66.54 / $69.23	Professional		$22.17	$66.54	$69.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Professional		$12.73	$12.73	$12.73
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 $19.34 / $38.68 / $41.74	Professional		$19.34	$38.68	$41.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $36.65 / $57.94	Professional		$29.32	$36.65	$57.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $49.94 / $186.15	Facility		$16.80	$49.94	$186.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $50.90	Professional		$15.27	$15.27	$50.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $51.85 / $79.79	Facility		$31.16	$51.85	$79.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $55.78 / $73.31	Professional		$30.57	$55.78	$73.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.27 / $50.90	Professional		$14.51	$15.27	$50.90