Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $218.78	Facility		$28.84	$75.86	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $95.50	Professional		$8.91	$12.88	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $104.71	Facility		$30.20	$40.74	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $21.88 / $23.44	Professional		$11.48	$21.88	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $34.67	Professional		$16.60	$27.54	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.88 / $75.86	Facility		$8.71	$21.88	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $15.85	Professional		$6.03	$8.71	$15.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $37.15	Professional		$17.78	$29.51	$37.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.88 / $26.92	Facility		$6.46	$12.88	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $15.85	Professional		$7.08	$8.71	$15.85