Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $72.62 / $119.33	Facility		$72.62	$72.62	$119.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $118.18 / $260.00	Professional		$70.70	$118.18	$260.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $116.26 / $262.19 / $289.47	Professional	25	$116.26	$262.19	$289.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $168.52 / $235.88	Professional		$105.89	$168.52	$235.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $148.13 / $148.13 / $148.13	Professional	25	$148.13	$148.13	$148.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $140.84 / $240.66	Professional		$75.79	$140.84	$240.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $152.53 / $287.30	Professional		$57.57	$152.53	$287.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $123.45 / $226.73	Facility		$72.62	$123.45	$226.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $243.96 / $298.27	Professional		$115.34	$243.96	$298.27
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $148.87 / $229.35 / $306.04	Professional	25	$148.87	$229.35	$306.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $239.50 / $309.54	Facility		$156.34	$239.50	$309.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $203.08 / $308.26	Professional		$150.25	$203.08	$308.26
United Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $167.97 / $296.64	Professional		$114.10	$167.97	$296.64