Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $162.18	Facility		$61.66	$91.20	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $75.86	Professional		$32.36	$48.98	$75.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	25	$77.62	$77.62	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $75.86	Professional		$44.67	$69.18	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $245.47	Facility		$95.50	$120.23	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $138.04	Professional		$50.12	$89.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $169.82	Professional		$50.12	$109.65	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $104.71	Facility		$38.02	$61.66	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $436.52	Professional		$44.67	$72.44	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $138.04	Professional		$50.12	$87.10	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $109.65 / $162.18	Professional		$33.88	$109.65	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $53.70 / $109.65	Professional		$26.30	$53.70	$109.65