Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $30.00 / $109.98	Facility		$15.00	$30.00	$109.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.88 / $21.57	Professional		$9.44	$11.88	$21.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Professional		$6.60	$6.60	$6.60
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 $10.02 / $20.05 / $21.62	Professional		$10.02	$20.05	$21.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $19.10 / $30.19	Professional		$15.28	$19.10	$30.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $25.99 / $81.59	Facility		$8.71	$25.99	$81.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.91 / $23.84	Professional		$5.54	$7.91	$23.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $19.25 / $41.35	Facility		$15.83	$19.25	$41.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $26.86 / $37.99	Professional		$15.83	$26.86	$37.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $5.54 / $7.91	Facility		$4.75	$5.54	$7.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.91 / $14.51	Professional		$5.54	$7.91	$14.51