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 $112.90 / $123.73 / $275.00	Professional		$112.90	$123.73	$275.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $145.52 / $164.92	Professional		$145.52	$145.52	$164.92
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 $106.02 / $213.42 / $213.42	Facility		$106.02	$213.42	$213.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $234.38 / $329.11	Professional		$207.61	$234.38	$329.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $212.37 / $939.42	Facility		$123.73	$212.37	$939.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $96.80 / $197.45	Professional		$73.87	$96.80	$197.45
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 $203.19 / $259.42 / $439.70	Professional		$203.19	$259.42	$439.70
United Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $96.80 / $141.12	Professional		$70.17	$96.80	$141.12