Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.63 / $216.63 / $216.63	Facility		$216.63	$216.63	$216.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.63 / $216.63 / $255.43	Professional		$216.63	$216.63	$255.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.78 / $254.78 / $254.78	Professional		$254.78	$254.78	$254.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.56 / $328.42 / $331.74	Professional		$298.56	$328.42	$331.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $373.67 / $373.67	Facility		$209.59	$373.67	$373.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $373.67 / $576.22	Professional		$209.59	$373.67	$576.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.30 / $371.83 / $1,729.07	Facility		$179.30	$371.83	$1,729.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $221.96 / $349.49	Professional		$129.33	$221.96	$349.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $372.57 / $373.67 / $506.92	Facility		$372.57	$373.67	$506.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $441.61 / $769.84	Professional		$310.70	$441.61	$769.84
United Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $219.98 / $256.52	Facility		$125.70	$219.98	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $210.15 / $256.52	Professional		$129.33	$210.15	$256.52