Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $90.19 / $141.86	Facility		$90.19	$90.19	$141.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $141.86 / $317.00	Professional		$87.74	$141.86	$317.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $141.86 / $322.20 / $339.23	Professional	25	$141.86	$322.20	$339.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $167.62 / $279.86	Professional		$120.00	$167.62	$279.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $279.86 / $329.43 / $329.43	Professional	25	$279.86	$329.43	$329.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $173.06 / $285.41	Professional		$94.29	$173.06	$285.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $190.99 / $341.16	Professional		$64.81	$190.99	$341.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $157.83 / $299.75	Facility		$90.19	$157.83	$299.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $292.88 / $379.12	Professional		$137.38	$292.88	$379.12
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $150.00 / $290.01 / $355.40	Professional	25	$150.00	$290.01	$355.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.76 / $283.99 / $368.95	Facility		$195.76	$283.99	$368.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.36 / $252.26 / $368.95	Professional		$189.36	$252.26	$368.95
United Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $201.04 / $339.18	Professional		$124.96	$201.04	$339.18