Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $112.20 / $251.19	Facility		$42.66	$112.20	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $114.82	Professional		$21.88	$47.86	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $51.29	Professional		$33.88	$40.74	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $371.54	Facility		$144.54	$181.97	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $47.86 / $97.72	Professional		$23.44	$47.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $125.89	Professional		$32.36	$66.07	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $104.71	Facility		$22.39	$50.12	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $323.59	Professional		$64.57	$107.15	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $125.89	Professional		$46.77	$97.72	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $120.23	Professional		$41.69	$66.07	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $50.12 / $63.10	Facility		$46.77	$50.12	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $112.20	Professional		$31.62	$56.23	$112.20