Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $389.05	Facility		$63.10	$91.20	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $218.78	Professional		$21.88	$27.54	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $575.44	Facility		$181.97	$251.19	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $54.95	Professional		$47.86	$52.48	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $64.57 / $79.43	Professional		$20.89	$64.57	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $72.44 / $190.55	Facility		$19.95	$72.44	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $398.11	Professional		$19.95	$33.11	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $85.11	Professional		$69.18	$85.11	$85.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $67.61	Facility		$14.13	$30.20	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $66.07	Professional		$20.42	$33.11	$66.07