Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.81 / $123.81 / $123.81	Facility		$123.81	$123.81	$123.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $123.81 / $160.77	Professional		$123.81	$123.81	$160.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $145.61 / $145.61	Professional		$145.61	$145.61	$145.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $187.69 / $189.59	Professional		$170.63	$187.69	$189.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $213.55 / $213.55	Facility		$112.22	$213.55	$213.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $226.13 / $329.32	Professional		$207.74	$226.13	$329.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $210.48 / $908.81	Facility		$97.78	$210.48	$908.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $96.86 / $161.43	Professional		$67.02	$96.86	$161.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.93 / $213.55 / $269.08	Facility		$212.93	$213.55	$269.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.57 / $252.38 / $439.97	Professional		$177.57	$252.38	$439.97
United Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $96.57 / $130.90	Professional		$70.22	$96.57	$130.90