Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $194.98	Facility		$77.62	$123.03	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $77.62	Professional		$22.91	$32.36	$77.62
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $588.84	Facility		$229.09	$288.40	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $74.13	Professional		$32.36	$54.95	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $91.20	Facility		$41.69	$42.66	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $85.11	Professional		$30.90	$50.12	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $61.66 / $144.54	Facility		$30.20	$61.66	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $234.42	Professional		$28.18	$37.15	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $79.43	Professional		$46.77	$64.57	$79.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $85.11	Professional		$47.86	$54.95	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $33.11 / $33.11	Facility		$29.51	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $85.11	Professional		$29.51	$35.48	$85.11