Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.99 / $187.99 / $187.99	Facility		$187.99	$187.99	$187.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.99 / $187.99 / $244.10	Professional		$187.99	$187.99	$244.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $250.56 / $250.56	Professional		$250.56	$250.56	$250.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.07 / $284.99 / $287.87	Professional		$259.07	$284.99	$287.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $324.26 / $324.26	Facility		$190.69	$324.26	$324.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $324.26 / $500.02	Professional		$190.69	$324.26	$500.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.19 / $322.67 / $1,539.25	Facility		$169.19	$322.67	$1,539.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $147.07 / $287.87	Professional		$112.23	$147.07	$287.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $323.32 / $324.26 / $447.83	Facility		$323.32	$324.26	$447.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $383.21 / $668.03	Professional		$288.00	$383.21	$668.03
United Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $147.07 / $221.53	Professional		$106.62	$147.07	$221.53