Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $23.99	Facility		$20.89	$20.89	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $30.20	Professional		$18.20	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $41.69	Professional		$23.99	$33.11	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $154.88 / $204.17	Facility		$29.51	$154.88	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $23.99	Professional		$20.42	$21.38	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $60.26	Professional		$28.84	$39.81	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $45.71	Facility		$21.38	$27.54	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $165.96	Professional		$39.81	$56.23	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $61.66	Professional		$33.11	$41.69	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $61.66 / $74.13	Professional		$19.05	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $60.26	Professional		$35.48	$45.71	$60.26