Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.91 / $79.43	Professional		$11.22	$22.91	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $31.62	Professional		$18.62	$25.12	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $35.48	Professional		$31.62	$34.67	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $40.74	Facility		$23.99	$23.99	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $63.10	Professional		$23.99	$41.69	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $169.82	Facility		$29.51	$51.29	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $36.31	Professional		$12.02	$18.20	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $91.20	Professional		$39.81	$50.12	$91.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $91.20	Professional		$50.12	$63.10	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.70 / $28.84	Facility		$13.49	$25.70	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $28.18	Professional		$13.18	$18.20	$28.18