Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.05 / $31.05	Professional		$30.00	$31.05	$31.05
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 $33.86 / $54.36 / $76.95	Professional		$33.86	$54.36	$76.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $65.42 / $147.46	Professional		$24.28	$65.42	$147.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $37.21 / $63.20	Facility		$27.53	$37.21	$63.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $64.52 / $231.03	Professional		$33.47	$64.52	$231.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $68.19 / $89.24	Facility		$59.00	$68.19	$89.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $68.15 / $89.24	Professional		$40.65	$68.15	$89.24
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $61.13 / $85.74	Professional		$37.11	$61.13	$85.74