Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $86.40 / $407.00	Professional		$81.37	$86.40	$407.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $85.00	Professional		$79.00	$79.00	$85.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $130.99 / $132.31	Professional		$119.08	$130.99	$132.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $149.04	Facility		$81.70	$86.88	$149.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $149.04 / $229.81	Professional		$86.88	$149.04	$229.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $148.30 / $722.40	Facility		$77.76	$148.30	$722.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $67.59 / $112.65	Professional		$51.58	$67.59	$112.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $149.04 / $205.83	Facility		$148.60	$149.04	$205.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $176.14 / $307.04	Professional		$134.00	$176.14	$307.04
United Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $67.59 / $104.16	Professional		$49.00	$67.59	$104.16