Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $67.61 / $67.61	Facility		$63.10	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $125.89	Professional		$56.23	$70.79	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $69.18	Professional		$63.10	$63.10	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $251.19	Facility		$213.80	$213.80	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $66.07	Professional		$63.10	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $169.82	Professional		$77.62	$104.71	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $173.78	Facility		$67.61	$114.82	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $602.56	Professional		$104.71	$134.90	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $177.83	Professional		$104.71	$114.82	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $169.82	Professional		$158.49	$158.49	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $181.97	Professional		$97.72	$134.90	$181.97