Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $123.73	Facility		$123.73	$123.73	$123.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $123.73 / $301.35	Professional		$108.29	$123.73	$301.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $129.99 / $217.00	Professional		$129.99	$129.99	$217.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $187.58 / $189.47	Professional		$170.52	$187.58	$189.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $213.42 / $213.42	Facility		$112.67	$213.42	$213.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $213.42 / $329.11	Professional		$112.67	$213.42	$329.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $212.37 / $939.42	Facility		$101.30	$212.37	$939.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $96.80 / $151.87	Professional		$69.31	$96.80	$151.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $213.42 / $273.92	Facility		$212.80	$213.42	$273.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $252.23 / $439.70	Professional		$193.25	$252.23	$439.70
United Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $96.80 / $135.37	Professional		$70.17	$96.80	$135.37