Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $177.83 / $537.03	Facility	26	$125.89	$177.83	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $707.95	Professional		$104.71	$190.55	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $213.80	Professional		$70.79	$85.11	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $229.09	Professional		$199.53	$213.80	$229.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $338.84	Professional		$91.20	$239.88	$338.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $758.58	Professional		$138.04	$186.21	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $389.05	Professional		$223.87	$257.04	$389.05
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $125.89 / $186.21	Professional	26	$109.65	$125.89	$186.21
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $389.05	Professional		$213.80	$257.04	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $229.09	Professional		$54.95	$107.15	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $281.84	Professional		$134.90	$173.78	$281.84