Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.63 / $164.56 / $444.12	Facility	26	$48.63	$164.56	$444.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $246.36 / $437.02	Professional		$110.07	$246.36	$437.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $222.36 / $261.74	Professional		$128.91	$222.36	$261.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.75 / $220.13 / $226.63	Professional		$204.75	$220.13	$226.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.33 / $281.33 / $281.33	Facility	26	$281.33	$281.33	$281.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $246.65 / $348.10	Professional		$103.04	$246.65	$348.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $224.03 / $224.03 / $224.03	Facility	26	$224.03	$224.03	$224.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $207.38 / $331.48	Professional		$133.86	$207.38	$331.48
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $163.16 / $167.93 / $281.33	Facility	26	$163.16	$167.93	$281.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $246.65 / $311.45	Professional		$202.00	$246.65	$311.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $111.74 / $219.14	Professional		$54.19	$111.74	$219.14
United Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $207.38 / $271.18	Professional		$133.86	$207.38	$271.18