Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $34.67 / $50.12	Facility		$25.70	$34.67	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $85.11	Professional		$30.20	$48.98	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $104.71	Professional		$44.67	$58.88	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $288.40	Facility		$204.17	$213.80	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $112.20	Professional		$40.74	$72.44	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $141.25	Professional		$58.88	$104.71	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $89.13	Facility		$33.88	$51.29	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $398.11	Professional		$75.86	$128.82	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $141.25	Professional		$58.88	$112.20	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $128.82	Professional		$79.43	$91.20	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $141.25	Professional		$51.29	$87.10	$141.25