Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.99 / $298.99 / $298.99	Facility		$298.99	$298.99	$298.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.68 / $298.99 / $388.24	Professional		$265.68	$298.99	$388.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.63 / $351.63 / $351.63	Professional		$351.63	$351.63	$351.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.06 / $453.26 / $457.85	Professional		$412.06	$453.26	$457.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $515.72 / $515.72	Facility		$345.03	$515.72	$515.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $515.72 / $795.25	Professional		$345.03	$515.72	$795.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.89 / $513.19 / $2,336.91	Facility		$234.89	$513.19	$2,336.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $233.90 / $457.85	Professional		$170.04	$233.90	$457.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $514.22 / $515.72 / $672.03	Facility		$514.22	$515.72	$672.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $428.81 / $609.49 / $1,062.46	Professional		$428.81	$609.49	$1,062.46
United Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $233.90 / $332.44	Professional		$169.58	$233.90	$332.44