Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $43.04 / $861.97	Facility		$13.54	$43.04	$861.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.72 / $4.01	Professional		$3.33	$3.72	$4.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
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 $3.25 / $6.49 / $7.00	Professional		$3.25	$6.49	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Facility		$33.00	$33.00	$33.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $6.20 / $9.78	Professional		$4.96	$6.20	$9.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $12.57 / $69.52	Facility		$4.17	$12.57	$69.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $8.53	Professional		$2.56	$2.56	$8.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $8.72 / $13.39	Facility		$5.23	$8.72	$13.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.17 / $12.31	Professional		$5.13	$9.17	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.56 / $8.53	Professional		$2.10	$2.56	$8.53