Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $68.70 / $80.45	Facility		$68.70	$68.70	$80.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $77.87 / $100.38	Professional		$63.13	$77.87	$100.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $58.97 / $111.96	Professional		$58.97	$58.97	$111.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.22 / $624.97 / $745.12	Facility		$531.22	$624.97	$745.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $118.17 / $160.86	Professional		$68.03	$118.17	$160.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $144.49 / $202.44	Professional		$48.00	$144.49	$202.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $84.52 / $156.97	Facility		$61.58	$84.52	$156.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $206.96 / $538.17	Professional		$134.99	$206.96	$538.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.24 / $165.39 / $215.57	Facility		$132.24	$165.39	$215.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.55 / $161.18 / $205.63	Professional		$120.55	$161.18	$205.63
United Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $167.55 / $211.13	Professional		$134.99	$167.55	$211.13