Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $96.80 / $96.80	Facility		$96.80	$96.80	$96.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $96.80 / $96.80	Professional		$76.04	$96.80	$96.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $113.85 / $113.85	Professional		$113.85	$113.85	$113.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $146.75 / $148.24	Professional		$133.41	$146.75	$148.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $166.98 / $166.98	Facility		$92.98	$166.98	$166.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $170.63 / $257.49	Professional		$162.43	$170.63	$257.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $164.56 / $659.83	Facility		$76.05	$164.56	$659.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $75.73 / $126.22	Professional		$50.49	$75.73	$126.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.49 / $166.98 / $210.38	Facility		$166.49	$166.98	$210.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $195.05 / $344.00	Professional		$136.75	$195.05	$344.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $75.14 / $96.96	Professional		$52.33	$75.14	$96.96