Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $98.04 / $98.04	Facility		$98.04	$98.04	$98.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $98.04 / $252.80	Professional		$82.85	$98.04	$252.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $148.63 / $150.13	Professional		$135.12	$148.63	$150.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $169.10 / $169.10	Facility		$86.21	$169.10	$169.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $169.10 / $260.77	Professional		$86.21	$169.10	$260.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $168.28 / $706.68	Facility		$77.98	$168.28	$706.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $76.70 / $127.83	Professional		$53.04	$76.70	$127.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.61 / $169.10 / $213.08	Facility		$168.61	$169.10	$213.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $199.85 / $348.40	Professional		$140.61	$199.85	$348.40
United Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $76.70 / $106.07	Professional		$55.61	$76.70	$106.07