Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $346.74	Facility		$173.78	$251.19	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $323.59	Professional		$173.78	$173.78	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $190.55	Facility		$141.25	$177.83	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $213.80	Professional		$204.17	$208.93	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $257.04	Professional		$173.78	$186.21	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $190.55 / $338.84	Facility		$154.88	$190.55	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $2,951.21	Professional		$173.78	$190.55	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $257.04	Professional		$199.53	$251.19	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $426.58	Professional		$177.83	$245.47	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $331.13	Facility		$151.36	$173.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $208.93	Professional		$165.96	$173.78	$208.93