Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $436.52	Professional		$81.28	$123.03	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $204.17	Professional		$104.71	$147.91	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $190.55	Professional		$169.82	$186.21	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Facility		$112.20	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $346.74	Professional		$112.20	$234.42	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $933.25	Facility		$123.03	$218.78	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $194.98	Professional		$64.57	$97.72	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $489.78	Professional		$213.80	$213.80	$489.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $489.78	Professional		$269.15	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $208.93	Facility		$69.18	$104.71	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $151.36	Professional		$64.57	$97.72	$151.36