Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $157.72 / $157.72	Professional		$77.31	$157.72	$157.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $114.57 / $114.57	Professional		$114.57	$114.57	$114.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $160.93 / $169.40	Professional		$149.06	$160.93	$169.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $131.69 / $168.04	Facility		$129.12	$131.69	$168.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $154.44 / $248.29	Professional		$129.04	$154.44	$248.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $157.72 / $911.54	Facility		$24.34	$157.72	$911.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $103.11 / $184.59	Professional		$48.68	$103.11	$184.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $23.85 / $45.05	Facility		$23.69	$23.85	$45.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $29.45 / $56.37	Professional		$23.85	$29.45	$56.37
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $99.25 / $171.43	Professional		$69.37	$99.25	$171.43