Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.08 / $2,166.29 / $12,036.14	Facility		$49.08	$2,166.29	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $84.75 / $172.94	Professional		$34.22	$84.75	$172.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $97.19 / $97.19	Professional		$97.19	$97.19	$97.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.13 / $902.45 / $1,745.64	Facility		$686.13	$902.45	$1,745.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $66.40 / $99.59	Professional		$35.96	$66.40	$99.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $40.76 / $40.76	Facility		$40.76	$40.76	$40.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $102.26 / $159.96	Professional		$58.43	$102.26	$159.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $80.98 / $165.02	Facility		$39.74	$80.98	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $114.09 / $295.00	Professional		$67.95	$114.09	$295.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.39 / $98.00 / $133.31	Facility		$45.39	$98.00	$133.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $106.40 / $144.80	Professional		$76.29	$106.40	$144.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $65.67 / $98.25	Professional		$38.28	$65.67	$98.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $114.09 / $146.38	Professional		$67.95	$114.09	$146.38