Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $120.23	Facility		$72.44	$72.44	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $269.15	Professional		$67.61	$120.23	$269.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $123.03 / $275.42	Professional	25	$117.49	$123.03	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $275.42	Professional		$120.23	$251.19	$275.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $154.88 / $177.83 / $302.00	Professional	25	$154.88	$177.83	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $229.09	Professional		$75.86	$138.04	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $125.89 / $281.84	Professional		$54.95	$125.89	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $229.09	Facility		$72.44	$125.89	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $295.12	Professional		$114.82	$223.87	$295.12
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $229.09 / $309.03	Professional	25	$147.91	$229.09	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $295.12	Professional		$154.88	$245.47	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $295.12	Professional		$169.82	$281.84	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $257.04	Professional		$60.26	$114.82	$257.04