Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $125.89 / $338.84	Facility		$38.90	$125.89	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $95.50	Professional		$25.12	$64.57	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $61.66	Professional		$12.59	$16.98	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $239.88	Facility		$48.98	$97.72	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $48.98	Professional		$23.44	$44.67	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $70.79	Professional		$29.51	$42.66	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $112.20 / $218.78	Facility		$33.11	$112.20	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $44.67	Professional		$14.79	$17.78	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $75.86	Professional		$36.31	$61.66	$75.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $181.97	Facility		$154.88	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.92 / $54.95	Facility		$13.18	$26.92	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $32.36	Professional		$16.98	$17.78	$32.36