Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $41.69	Professional		$16.98	$19.05	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $34.67	Professional		$19.05	$25.12	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $147.91	Facility		$104.71	$109.65	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $100.00	Professional		$41.69	$69.18	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $60.26 / $83.18	Professional		$22.91	$60.26	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.89 / $42.66	Facility		$19.05	$20.89	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $257.04	Professional		$75.86	$95.50	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $109.65	Professional		$70.79	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $117.49	Professional		$70.79	$91.20	$117.49