Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $92.46 / $92.46	Facility		$92.46	$92.46	$92.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $92.46 / $92.46	Professional		$46.70	$92.46	$92.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $108.74 / $108.74	Professional		$108.74	$108.74	$108.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $140.16 / $141.59	Professional		$127.43	$140.16	$141.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $159.49 / $159.49	Facility		$126.00	$159.49	$159.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $159.49 / $245.94	Professional		$126.59	$159.49	$245.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $158.69 / $720.02	Facility		$83.21	$158.69	$720.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $95.58 / $122.83	Professional		$55.20	$95.58	$122.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.02 / $159.49 / $220.26	Facility		$159.02	$159.49	$220.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $188.49 / $328.57	Professional		$142.00	$188.49	$328.57
United Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $72.34 / $113.48	Professional		$55.20	$72.34	$113.48