Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $86.40 / $208.00	Facility		$39.47	$86.40	$208.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $109.39 / $173.82	Professional		$39.90	$109.39	$173.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $146.00 / $150.00	Professional		$95.89	$146.00	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.68 / $240.80 / $452.04	Facility		$177.68	$240.80	$452.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $228.19 / $238.40	Professional		$213.49	$228.19	$238.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $684.60	Facility		$224.00	$224.00	$684.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $268.29 / $297.83	Professional		$149.16	$268.29	$297.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $121.00 / $339.10	Facility		$32.40	$121.00	$339.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $244.33 / $810.58	Professional		$150.36	$244.33	$810.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $269.52 / $551.88	Facility		$235.05	$269.52	$551.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.05 / $279.83 / $485.20	Professional		$235.05	$279.83	$485.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $49.41 / $74.72	Professional		$20.85	$49.41	$74.72
United Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $241.45 / $307.49	Professional		$162.88	$241.45	$307.49