Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $275.42	Professional		$44.67	$77.62	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $144.54	Professional		$40.74	$58.88	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $151.36	Professional		$56.23	$93.33	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $234.42	Professional		$81.28	$147.91	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $588.84	Professional		$85.11	$147.91	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $218.78	Professional		$109.65	$151.36	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $234.42	Professional		$109.65	$151.36	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $173.78	Professional		$46.77	$89.13	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $181.97	Professional		$60.26	$104.71	$181.97