Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $64.22	Facility		$52.57	$52.57	$64.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $64.22 / $287.00	Professional		$43.82	$64.22	$287.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $75.53 / $95.00	Professional		$75.53	$75.53	$95.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $97.35 / $98.34	Professional		$88.51	$97.35	$98.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $110.77 / $110.77	Facility		$68.22	$110.77	$110.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $110.77 / $170.83	Professional		$68.22	$110.77	$170.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $110.45 / $535.05	Facility		$57.80	$110.45	$535.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $50.24 / $100.70	Professional		$38.34	$50.24	$100.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $110.77 / $152.97	Facility		$110.45	$110.77	$152.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $132.76 / $228.22	Professional		$92.11	$132.76	$228.22
United Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $50.24 / $75.61	Professional		$38.34	$50.24	$75.61