Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.00 / $26.58	Professional		$14.51	$15.00	$26.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $123.96 / $147.79	Facility		$105.37	$123.96	$147.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $49.84 / $69.12	Professional		$30.42	$49.84	$69.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $41.41 / $73.58	Professional		$12.00	$41.41	$73.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $15.75 / $29.25	Facility		$14.51	$15.75	$29.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $68.34 / $178.47	Professional		$52.66	$68.34	$178.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $41.41 / $48.69	Facility		$41.41	$41.41	$48.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $41.41 / $73.58	Professional		$41.41	$41.41	$73.58
United Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $65.81 / $81.29	Professional		$54.30	$65.81	$81.29