Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $134.90 / $562.34	Facility		$10.47	$134.90	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $18.20 / $42.66	Professional		$5.89	$18.20	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.89 / $14.79	Professional		$3.98	$5.89	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $58.88 / $147.91	Facility		$24.55	$58.88	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.88 / $13.80	Professional		$6.76	$12.88	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.85 / $19.95	Professional		$8.32	$15.85	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $125.89 / $208.93	Facility		$11.75	$125.89	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.13 / $15.49	Professional		$3.80	$5.13	$15.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $724.44	Facility		$616.60	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $7.59 / $15.49	Facility		$3.80	$7.59	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $9.33	Professional		$4.17	$5.13	$9.33