Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $354.81 / $676.08	Facility		$83.18	$354.81	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $112.20	Professional		$30.90	$64.57	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $34.67 / $53.70	Professional		$14.45	$34.67	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $40.74 / $239.88	Facility		$23.44	$40.74	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $52.48 / $58.88	Professional		$27.54	$52.48	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $77.62 / $97.72	Professional		$33.11	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $316.23 / $478.63	Facility		$51.29	$316.23	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $70.79	Professional		$18.20	$25.70	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $93.33	Professional		$41.69	$74.13	$93.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $275.42	Facility		$234.42	$234.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $81.28	Facility		$23.44	$37.15	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $42.66	Professional		$18.20	$25.70	$42.66