Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $38.27 / $207.39	Facility		$26.52	$38.27	$207.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $38.27 / $174.00	Professional		$25.62	$38.27	$174.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $62.28 / $62.28	Professional		$62.28	$62.28	$62.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.75 / $546.83 / $1,057.75	Facility		$415.75	$546.83	$1,057.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $52.71 / $79.43	Professional		$27.78	$52.71	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $79.86 / $118.12	Professional		$45.34	$79.86	$118.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $59.52 / $160.46	Facility		$31.28	$59.52	$160.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $84.45 / $213.52	Professional		$49.79	$84.45	$213.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $79.27 / $118.12	Facility		$63.32	$79.27	$118.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $78.69 / $109.28	Professional		$58.25	$78.69	$109.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $50.12 / $83.67	Professional		$28.30	$50.12	$83.67
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 $49.79 / $84.82 / $107.24	Professional		$49.79	$84.82	$107.24