Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $56.23 / $169.82	Facility		$19.95	$56.23	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $89.13	Professional		$7.94	$12.02	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $239.88	Facility		$93.33	$109.65	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.42 / $22.39	Professional		$10.72	$20.42	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $32.36	Professional		$15.85	$26.30	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $41.69 / $239.88	Facility		$8.13	$41.69	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $14.79	Professional		$6.03	$8.13	$14.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.18 / $34.67	Professional		$16.60	$28.18	$34.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,548.13	Facility		$3,090.30	$3,090.30	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.30 / $25.12	Facility		$6.03	$12.30	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.13 / $14.79	Professional		$7.76	$8.13	$14.79