Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $79.43	Facility		$42.66	$42.66	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $173.78	Professional		$41.69	$79.43	$173.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $173.78 / $186.21	Professional	25	$75.86	$173.78	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $199.53	Professional		$79.43	$91.20	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $154.88	Professional		$45.71	$85.11	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $83.18 / $190.55	Professional		$38.02	$83.18	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.13 / $162.18	Facility		$43.65	$89.13	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $223.87	Professional		$75.86	$112.20	$223.87
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	25	$154.88	$154.88	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $199.53	Professional		$95.50	$162.18	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $199.53	Professional		$102.33	$190.55	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $165.96	Professional		$40.74	$74.13	$165.96