Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $47.94 / $84.45	Facility		$47.94	$47.94	$84.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $84.45 / $180.00	Professional		$47.94	$84.45	$180.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $80.18 / $180.00 / $188.84	Professional	25	$80.18	$180.00	$188.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $118.18 / $195.37	Professional		$80.18	$118.18	$195.37
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.24 / $165.97 / $195.37	Professional	25	$104.24	$165.97	$195.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $95.93 / $169.90	Professional		$50.15	$95.93	$169.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $102.59 / $203.07	Professional		$45.00	$102.59	$203.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $84.45 / $160.46	Facility		$47.94	$84.45	$160.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $164.33 / $211.97	Professional		$81.83	$164.33	$211.97
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $114.90 / $178.99 / $207.43	Professional	25	$114.90	$178.99	$207.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $169.06 / $218.50	Facility		$103.38	$169.06	$218.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $138.25 / $214.49	Professional		$99.44	$138.25	$214.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $117.63 / $209.94	Professional		$43.37	$117.63	$209.94