Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $812.83	Professional		$134.90	$218.78	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $426.58	Professional		$194.98	$194.98	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $436.52	Professional		$165.96	$269.15	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $426.58 / $676.08	Professional		$144.54	$426.58	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $1,737.80	Professional		$302.00	$457.09	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $660.69	Professional		$323.59	$501.19	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $501.19	Professional		$316.23	$316.23	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $173.78 / $645.65	Professional		$5.01	$173.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $549.54	Professional		$186.21	$323.59	$549.54