Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $53.19 / $626.04	Facility		$26.59	$53.19	$626.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.46 / $188.46 / $622.00	Professional		$188.46	$188.46	$622.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $412.00 / $412.00	Professional		$412.00	$412.00	$412.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.74 / $285.70 / $288.60	Professional		$259.74	$285.70	$288.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $325.08 / $325.08	Facility		$175.00	$325.08	$325.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $325.08 / $501.29	Professional		$175.00	$325.08	$501.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.78 / $323.48 / $1,382.94	Facility		$148.78	$323.48	$1,382.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $147.44 / $245.73	Professional		$101.98	$147.44	$245.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $324.14 / $325.08 / $409.61	Facility		$324.14	$325.08	$409.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $384.19 / $669.74	Professional		$290.00	$384.19	$669.74
United Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $300.68 / $300.68	Facility		$300.68	$300.68	$300.68
United Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $147.44 / $199.71	Professional		$106.89	$147.44	$199.71