Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.53 / $60.53 / $60.53	Facility		$60.53	$60.53	$60.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $75.00 / $231.00	Professional		$50.00	$75.00	$231.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $89.93 / $142.37	Professional		$71.18	$89.93	$142.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $91.76 / $92.68	Professional		$83.42	$91.76	$92.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $104.40	Facility		$56.94	$58.00	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $104.40 / $161.00	Professional		$58.00	$104.40	$161.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $103.89 / $472.21	Facility		$47.55	$103.89	$472.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $47.35 / $95.00	Professional		$36.14	$47.35	$95.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $104.40 / $136.62	Facility		$104.10	$104.40	$136.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $125.13 / $215.11	Professional		$94.54	$125.13	$215.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $47.35 / $67.52	Professional		$34.33	$47.35	$67.52