Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $131.83 / $281.84	Facility		$39.81	$131.83	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $77.62	Professional		$34.67	$40.74	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $74.13 / $91.20	Professional		$30.20	$74.13	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $229.09 / $446.68	Facility		$177.83	$229.09	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $75.86	Professional		$69.18	$72.44	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $83.18 / $120.23	Professional		$31.62	$83.18	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.10 / $181.97	Facility		$36.31	$63.10	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $257.04	Professional		$36.31	$64.57	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $134.90	Professional		$75.86	$85.11	$134.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $134.90	Professional		$75.86	$89.13	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $81.28	Professional		$37.15	$41.69	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $104.71	Facility		$32.36	$41.69	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $97.72	Professional		$36.31	$63.10	$97.72