Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $1,148.15	Facility		$104.71	$208.93	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,778.28	Professional		$104.71	$104.71	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $112.20	Facility		$67.61	$85.11	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $128.82	Professional		$120.23	$123.03	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $229.09	Professional		$104.71	$123.03	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $346.74	Facility		$109.65	$165.96	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $1,698.24	Professional		$109.65	$123.03	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $204.17	Professional		$131.83	$177.83	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $416.87	Professional		$169.82	$275.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $302.00	Facility		$104.71	$109.65	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $177.83	Professional		$104.71	$114.82	$177.83