Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Facility		$10.83	$10.83	$10.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.48 / $25.89	Professional		$10.16	$12.48	$25.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.44 / $277.92 / $563.73	Facility		$208.44	$277.92	$563.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $16.80 / $23.57	Professional		$10.38	$16.80	$23.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $23.03 / $28.79	Professional		$21.63	$23.03	$28.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $13.54 / $25.36	Facility		$10.37	$13.54	$25.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.82 / $33.06	Professional		$17.89	$21.82	$33.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $23.35 / $28.31	Facility		$21.63	$23.35	$28.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $23.78 / $30.04	Professional		$21.62	$23.78	$30.04
United Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $24.53 / $28.42	Professional		$18.46	$24.53	$28.42