Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $48.29 / $48.29	Facility		$48.29	$48.29	$48.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $48.29 / $50.02	Professional		$45.47	$48.29	$50.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $64.37	Professional		$64.37	$64.37	$64.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $73.20 / $73.95	Professional		$66.56	$73.20	$73.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $83.30 / $83.30	Facility		$48.98	$83.30	$83.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.30 / $128.46	Professional		$48.98	$83.30	$128.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $82.89 / $399.39	Facility		$43.46	$82.89	$399.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $37.78 / $73.95	Professional		$28.83	$37.78	$73.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $83.30 / $115.04	Facility		$83.06	$83.30	$115.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $98.45 / $171.63	Professional		$75.43	$98.45	$171.63
United Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $37.78 / $58.22	Professional		$28.83	$37.78	$58.22