Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.58 / $184.73 / $498.60	Facility	26	$54.58	$184.73	$498.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $224.91 / $623.00	Professional		$111.29	$224.91	$623.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $213.67 / $213.67	Professional		$82.58	$213.67	$213.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.69 / $216.72 / $222.58	Professional		$200.69	$216.72	$222.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $314.70 / $314.70 / $314.70	Facility	26	$314.70	$314.70	$314.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $255.89 / $331.61	Professional		$103.48	$255.89	$331.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.32 / $251.32 / $251.32	Facility	26	$251.32	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $206.04 / $329.34	Professional		$137.63	$206.04	$329.34
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $183.26 / $188.60 / $314.70	Facility	26	$183.26	$188.60	$314.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $245.01 / $315.73	Professional		$213.00	$245.01	$315.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $103.35 / $210.57	Professional		$55.20	$103.35	$210.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $221.03 / $278.83	Professional		$137.63	$221.03	$278.83