Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $93.65 / $93.65	Facility		$93.65	$93.65	$93.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $93.65 / $121.60	Professional		$93.65	$93.65	$121.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $141.97 / $143.40	Professional		$129.06	$141.97	$143.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $161.52 / $161.52	Facility		$83.71	$161.52	$161.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $161.52 / $249.08	Professional		$83.71	$161.52	$249.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $160.74 / $688.05	Facility		$93.65	$160.74	$688.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $73.26 / $122.10	Professional		$51.71	$73.26	$122.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.06 / $161.52 / $203.51	Facility		$161.06	$161.52	$203.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $193.59 / $332.78	Professional		$146.25	$193.59	$332.78
United Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $65.33 / $103.42	Facility		$50.68	$65.33	$103.42
United Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $73.26 / $103.42	Professional		$53.11	$73.26	$103.42