Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $43.93 / $80.73	Facility		$43.93	$43.93	$80.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $79.52 / $168.34	Professional		$42.74	$79.52	$168.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $76.42 / $175.87 / $184.53	Professional	25	$76.42	$175.87	$184.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $158.19 / $158.19	Professional		$76.42	$158.19	$158.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.43 / $162.00	Professional		$45.71	$87.43	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $93.52 / $193.28	Professional		$45.00	$93.52	$193.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $80.73 / $163.75	Facility		$43.93	$80.73	$163.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $130.44 / $222.10	Professional		$78.26	$130.44	$222.10
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $155.00 / $155.00 / $155.00	Professional	25	$155.00	$155.00	$155.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.21 / $161.22 / $208.24	Facility		$96.21	$161.22	$208.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $131.79 / $204.66	Professional		$94.90	$131.79	$204.66
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $112.25 / $200.72	Professional		$72.70	$112.25	$200.72