Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $44.80 / $44.80	Professional		$44.80	$44.80	$44.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $38.44	Professional		$30.75	$30.75	$38.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $42.50 / $90.00	Facility		$25.00	$42.50	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $94.50	Professional		$25.00	$25.00	$94.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $18.85 / $18.85	Professional		$17.66	$18.85	$18.85