Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.63 / $93.81 / $230.40	Facility		$83.63	$93.81	$230.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $98.70 / $261.27	Professional		$83.79	$98.70	$261.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $94.63 / $94.63	Professional		$94.63	$94.63	$94.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.77 / $278.87 / $523.51	Facility		$205.77	$278.87	$523.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $164.13 / $168.24	Professional		$152.00	$164.13	$168.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.38 / $484.38 / $484.38	Facility		$484.38	$484.38	$484.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $190.72 / $255.45	Professional		$78.95	$190.72	$255.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $159.19 / $386.77	Facility		$82.36	$159.19	$386.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $169.30 / $1,285.65	Professional		$104.18	$169.30	$1,285.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $190.72 / $322.61	Facility		$166.30	$190.72	$322.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.30 / $191.98 / $243.15	Professional		$166.30	$191.98	$243.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $78.18 / $163.77	Professional		$42.06	$78.18	$163.77
United Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $167.16 / $211.06	Professional		$104.18	$167.16	$211.06