Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $398.11	Facility		$138.04	$338.84	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $371.54	Professional		$125.89	$165.96	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $208.93	Professional		$141.25	$162.18	$208.93
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $144.54 / $154.88	Professional	25	$138.04	$144.54	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Facility		$338.84	$338.84	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $363.08	Professional		$162.18	$269.15	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $407.38	Professional		$316.23	$331.13	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $812.83	Facility		$165.96	$354.81	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $407.38	Professional		$173.78	$281.84	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $426.58	Professional		$316.23	$316.23	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $416.87	Professional		$190.55	$316.23	$416.87