Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $47.86 / $77.62	Facility		$30.90	$47.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $95.50	Professional		$22.91	$35.48	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $45.71	Professional		$19.95	$33.88	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $218.78 / $426.58	Facility		$169.82	$218.78	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $47.86	Professional		$20.89	$34.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $47.86 / $60.26	Professional		$25.12	$47.86	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $63.10	Facility		$20.89	$33.88	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $151.36	Professional		$32.36	$47.86	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $63.10	Professional		$43.65	$53.70	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $63.10	Professional		$51.29	$51.29	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $66.07	Professional		$32.36	$48.98	$66.07