Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $198.65 / $198.65	Facility		$198.65	$198.65	$198.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $198.65 / $257.95	Professional		$160.06	$198.65	$257.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.63 / $233.63 / $233.63	Professional		$233.63	$233.63	$233.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $301.16 / $304.19	Professional		$273.77	$301.16	$304.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $191.33 / $342.65	Facility		$175.81	$191.33	$342.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $342.65 / $528.36	Professional		$175.81	$342.65	$528.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.05 / $340.96 / $1,417.95	Facility		$156.05	$340.96	$1,417.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $155.40 / $296.42	Professional		$103.60	$155.40	$296.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.65 / $342.65 / $431.73	Facility		$341.65	$342.65	$431.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $404.87 / $705.90	Professional		$284.89	$404.87	$705.90
United Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $155.40 / $200.09	Professional		$110.15	$155.40	$200.09