Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $56.23 / $194.98	Professional		$27.54	$56.23	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $89.13	Professional		$45.71	$75.86	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $87.10	Professional		$77.62	$85.11	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $100.00	Facility		$58.88	$58.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $154.88	Professional		$58.88	$102.33	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $416.87	Facility		$72.44	$125.89	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $89.13	Professional		$29.51	$52.48	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $223.87	Professional		$97.72	$123.03	$223.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $223.87	Professional		$123.03	$154.88	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $63.10 / $70.79	Facility		$30.20	$63.10	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $69.18	Professional		$32.36	$44.67	$69.18