Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $54.95 / $104.71	Facility		$11.22	$54.95	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $13.18 / $32.36	Professional		$3.02	$13.18	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $5.01 / $7.59	Professional		$2.51	$5.01	$7.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $53.70	Facility		$19.05	$27.54	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.59 / $8.32	Professional		$3.98	$7.59	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $9.55 / $12.02	Professional		$3.09	$9.55	$12.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $14.45 / $81.28	Facility		$5.50	$14.45	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.02 / $9.33	Professional		$2.09	$3.02	$9.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $4.47 / $9.33	Facility		$2.24	$4.47	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.02 / $5.50	Professional		$2.51	$3.02	$5.50