Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $147.91	Professional		$53.70	$87.10	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $199.53	Professional		$125.89	$154.88	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $173.78	Professional		$77.62	$125.89	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $138.04 / $245.47	Professional		$56.23	$138.04	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $199.53	Professional		$63.10	$120.23	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $199.53	Professional		$134.90	$162.18	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Professional		$165.96	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $181.97	Professional		$56.23	$107.15	$181.97