Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $21.88 / $181.97	Professional		$11.48	$21.88	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $32.36	Professional		$27.54	$27.54	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $35.48	Professional		$31.62	$34.67	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $40.74	Facility		$30.20	$30.20	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $69.18	Professional		$30.20	$47.86	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $41.69 / $194.98	Facility		$22.91	$41.69	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $38.02	Professional		$12.02	$17.78	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $89.13	Professional		$39.81	$39.81	$89.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $89.13	Professional		$50.12	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $41.69	Facility		$13.80	$20.89	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $28.18	Professional		$12.30	$17.78	$28.18