Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.39 / $2,297.39 / $2,297.39	Facility		$2,297.39	$2,297.39	$2,297.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Facility		$45.00	$45.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $55.00 / $76.59	Professional		$41.91	$55.00	$76.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $31.50 / $270.00	Facility		$30.00	$31.50	$270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $82.12 / $110.00	Professional		$30.00	$82.12	$110.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $76.59 / $76.59	Facility		$76.59	$76.59	$76.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $66.84 / $76.59	Professional		$66.84	$66.84	$76.59
United Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $106.00 / $114.00	Professional		$64.89	$106.00	$114.00