Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $436.52	Professional		$45.71	$53.70	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $83.18	Professional		$74.13	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $95.50	Facility		$70.79	$70.79	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $165.96	Professional		$70.79	$112.20	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $457.09	Facility		$54.95	$97.72	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $89.13	Professional		$28.18	$42.66	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $213.80	Professional		$93.33	$93.33	$213.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $213.80	Professional		$117.49	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $97.72	Facility		$33.11	$50.12	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $66.07	Professional		$28.84	$42.66	$66.07