Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $177.83 / $218.78	Facility		$97.72	$177.83	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $208.93	Professional		$72.44	$95.50	$208.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	25	$199.53	$199.53	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $134.90	Professional		$79.43	$93.33	$134.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $87.10 / $100.00	Professional	25	$87.10	$87.10	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Facility		$186.21	$186.21	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $213.80	Professional		$95.50	$158.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $245.47	Professional		$173.78	$194.98	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $489.78	Facility		$114.82	$194.98	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $239.88	Professional		$104.71	$151.36	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $251.19	Professional		$173.78	$173.78	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $239.88	Professional		$104.71	$177.83	$239.88