Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $75.86 / $154.88	Professional		$22.91	$75.86	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $69.18	Professional		$61.66	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Facility		$44.67	$44.67	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $123.03	Professional		$44.67	$83.18	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $97.72 / $309.03	Facility		$37.15	$97.72	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $70.79	Professional		$23.44	$35.48	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $177.83	Professional		$77.62	$97.72	$177.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $177.83	Professional		$97.72	$123.03	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $50.12	Facility		$21.88	$35.48	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $54.95	Professional		$23.44	$35.48	$54.95