Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $165.96	Facility		$66.07	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $158.49	Professional		$51.29	$66.07	$158.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	25	$69.18	$69.18	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $104.71	Professional		$56.23	$67.61	$104.71
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $66.07 / $70.79	Professional	25	$66.07	$66.07	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $165.96	Facility		$141.25	$141.25	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $147.91	Professional		$66.07	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $169.82	Professional		$131.83	$134.90	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $147.91 / $338.84	Facility		$81.28	$147.91	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $165.96	Professional		$77.62	$114.82	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Professional		$131.83	$131.83	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $173.78	Professional		$79.43	$131.83	$173.78