Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $131.83	Professional		$28.84	$54.95	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $85.11	Professional		$46.77	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $77.62 / $128.82	Professional		$31.62	$77.62	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $120.23	Facility		$34.67	$66.07	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $363.08	Professional		$45.71	$60.26	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $128.82	Professional		$60.26	$91.20	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $128.82	Professional		$77.62	$123.03	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $91.20	Professional		$31.62	$50.12	$91.20