Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $104.71 / $323.59	Facility	26	$74.13	$104.71	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $354.81	Professional		$77.62	$102.33	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $169.82	Professional		$64.57	$64.57	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $173.78	Professional		$154.88	$162.18	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	26	$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $169.82 / $263.03	Professional		$69.18	$169.82	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $575.44	Professional		$102.33	$144.54	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $295.12	Professional		$169.82	$190.55	$295.12
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $74.13 / $112.20	Professional	26	$64.57	$74.13	$112.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	26	$186.21	$186.21	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $208.93	Professional		$109.65	$169.82	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $74.13 / $181.97	Professional		$34.67	$74.13	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $208.93	Professional		$102.33	$128.82	$208.93