Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $112.20 / $173.78	Professional		$36.31	$112.20	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $114.82	Professional		$56.23	$77.62	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $56.23	Professional		$50.12	$54.95	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $85.11	Facility		$52.48	$52.48	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $158.49	Professional		$52.48	$83.18	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $257.04	Facility		$42.66	$75.86	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $97.72	Professional		$30.90	$46.77	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $194.98	Professional		$83.18	$85.11	$194.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $194.98	Professional		$114.82	$190.55	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $79.43	Facility		$33.11	$48.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $72.44	Professional		$29.51	$46.77	$72.44