Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $58.35 / $58.35	Facility		$58.35	$58.35	$58.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $58.35 / $75.77	Professional		$58.35	$58.35	$75.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $77.77 / $77.77	Professional		$77.77	$77.77	$77.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $88.45 / $89.34	Professional		$80.40	$88.45	$89.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $100.64 / $100.64	Facility		$51.32	$100.64	$100.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $100.64 / $155.19	Professional		$51.32	$100.64	$155.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $100.15 / $428.17	Facility		$46.05	$100.15	$428.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.65 / $76.08	Professional		$31.58	$45.65	$76.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.36 / $100.64 / $126.82	Facility		$100.36	$100.64	$126.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $118.94 / $207.35	Professional		$90.00	$118.94	$207.35
United Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $45.65 / $61.81	Professional		$33.09	$45.65	$61.81