Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $33.59 / $1,051.90	Facility		$4.26	$33.59	$1,051.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.87 / $26.77	Professional		$2.82	$3.87	$26.77
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 $82.17 / $107.21 / $209.05	Facility		$82.17	$107.21	$209.05
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 $34.00 / $34.00 / $34.00	Facility		$34.00	$34.00	$34.00
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 $2.56 / $8.52 / $80.00	Facility		$2.56	$8.52	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $10.00	Professional		$2.56	$4.26	$10.00
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 / $9.36 / $12.31	Professional		$5.13	$9.36	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $8.53	Professional		$2.56	$4.26	$8.53