Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $1,230.27	Professional		$158.49	$190.55	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $295.12	Professional		$263.03	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $338.84	Facility		$165.96	$165.96	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $512.86	Professional		$165.96	$380.19	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $1,380.38	Facility		$190.55	$331.13	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $302.00	Professional		$100.00	$177.83	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $758.58	Professional		$331.13	$331.13	$758.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $758.58	Professional		$416.87	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $199.53 / $309.03	Facility		$134.90	$199.53	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $229.09	Professional		$109.65	$151.36	$229.09