Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $114.55 / $114.55	Facility		$114.55	$114.55	$114.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $114.55 / $114.55	Professional		$84.85	$114.55	$114.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $134.72 / $152.69	Professional		$134.72	$134.72	$152.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $173.66 / $175.41	Professional		$157.88	$173.66	$175.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $197.59 / $197.59	Facility		$102.60	$197.59	$197.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $197.59 / $304.69	Professional		$102.60	$197.59	$304.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $194.74 / $744.59	Facility		$90.01	$194.74	$744.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $89.62 / $153.37	Professional		$59.74	$89.62	$153.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.59 / $248.96	Facility		$197.02	$197.59	$248.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $230.81 / $407.08	Professional		$161.84	$230.81	$407.08
United Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $89.62 / $140.60	Professional		$63.65	$89.62	$140.60