Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $60.68 / $100.00	Professional		$60.68	$60.68	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.75 / $273.75 / $273.75	Facility		$273.75	$273.75	$273.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $105.68 / $149.59	Professional		$65.81	$105.68	$149.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $125.75 / $283.47	Professional		$46.67	$125.75	$283.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $73.20 / $133.87	Facility		$56.45	$73.20	$133.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $125.19 / $446.97	Professional		$67.15	$125.19	$446.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $139.63 / $173.14	Facility		$114.00	$139.63	$173.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $132.94 / $173.14	Professional		$87.00	$132.94	$173.14
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $137.38 / $166.69	Professional		$70.84	$137.38	$166.69