Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $208.89 / $208.89	Facility		$110.88	$208.89	$208.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $208.89 / $622.29	Professional		$185.87	$208.89	$622.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $245.68 / $491.36	Professional		$245.68	$245.68	$491.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $316.69 / $319.88	Professional		$287.89	$316.69	$319.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $360.33 / $360.33	Facility		$216.42	$360.33	$360.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $360.33 / $555.63	Professional		$216.42	$360.33	$555.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $358.55 / $1,611.98	Facility		$168.10	$358.55	$1,611.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $163.41 / $327.57	Professional		$118.96	$163.41	$327.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $359.27 / $360.33 / $470.15	Facility		$359.27	$360.33	$470.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $425.84 / $742.34	Professional		$320.00	$425.84	$742.34
United Facility/Professional Facility Modifier Low / Median / High Price $116.58 / $153.02 / $237.92	Facility		$116.58	$153.02	$237.92
United Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $163.41 / $237.92	Professional		$118.48	$163.41	$237.92