Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $64.57 / $104.71	Facility		$40.74	$64.57	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $87.10	Professional		$28.18	$40.74	$87.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $51.29	Professional	25	$37.15	$37.15	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $48.98	Professional		$36.31	$43.65	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $245.47	Facility		$95.50	$125.89	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $91.20	Professional		$34.67	$61.66	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $109.65	Professional		$58.88	$87.10	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $77.62	Facility		$29.51	$41.69	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $302.00	Professional		$44.67	$72.44	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $91.20	Professional		$48.98	$69.18	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $107.15	Professional		$75.86	$91.20	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $107.15	Professional		$35.48	$64.57	$107.15