Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $831.76	Professional		$107.15	$141.25	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Professional		$162.18	$162.18	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $186.21	Professional		$169.82	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $218.78	Facility		$138.04	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $371.54	Professional		$138.04	$251.19	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $977.24	Facility		$123.03	$218.78	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $204.17	Professional		$64.57	$95.50	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $478.63	Professional		$213.80	$269.15	$478.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $478.63	Professional		$269.15	$371.54	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $223.87	Facility		$74.13	$112.20	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $147.91	Professional		$64.57	$95.50	$147.91