Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $91.20 / $208.93	Facility		$41.69	$91.20	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $309.03	Professional		$47.86	$120.23	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $223.87	Professional		$89.13	$95.50	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $501.19	Facility		$177.83	$234.42	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $239.88	Professional		$213.80	$223.87	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $691.83	Facility		$223.87	$223.87	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $346.74	Professional		$100.00	$229.09	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $114.82 / $281.84	Facility		$30.90	$114.82	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $812.83	Professional		$144.54	$208.93	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $426.58	Professional		$239.88	$269.15	$426.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $426.58	Professional		$239.88	$281.84	$426.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $512.86	Facility		$426.58	$512.86	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $51.29 / $83.18	Professional		$20.89	$51.29	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $229.09	Facility		$54.95	$151.36	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $331.13	Professional		$141.25	$208.93	$331.13