Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $80.27 / $80.27	Facility		$57.24	$80.27	$80.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $250.00	Professional		$57.24	$57.24	$250.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $78.76 / $78.76	Professional		$78.76	$78.76	$78.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $70.18 / $70.90	Professional		$63.81	$70.18	$70.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $115.51 / $115.51	Facility		$67.20	$115.51	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $113.17 / $229.91	Professional		$67.20	$113.17	$229.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $98.24 / $324.51	Facility		$51.52	$98.24	$324.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $67.62 / $106.08	Professional		$35.13	$67.62	$106.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $116.00 / $186.31	Facility		$115.51	$116.00	$186.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $140.76 / $241.74	Professional		$115.51	$140.76	$241.74
United Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $63.65 / $85.50	Professional		$35.10	$63.65	$85.50