Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $223.87	Facility		$85.11	$89.13	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $281.84	Professional		$77.62	$117.49	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $204.17	Professional		$93.33	$128.82	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Facility		$208.93	$208.93	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $245.47	Professional		$107.15	$181.97	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $263.03	Professional		$169.82	$218.78	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $229.09	Facility		$104.71	$177.83	$229.09
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	25	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $295.12	Professional		$125.89	$229.09	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $275.42	Professional		$169.82	$199.53	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Professional		$263.03	$263.03	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $288.40	Professional		$107.15	$173.78	$288.40