Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $52.48 / $338.84	Facility		$11.48	$52.48	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.03 / $32.36	Professional		$3.02	$6.03	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.55 / $6.17	Professional		$2.57	$3.55	$6.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $47.86	Facility		$19.05	$25.12	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $7.76 / $8.51	Professional		$4.07	$7.76	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $9.55 / $12.02	Professional		$3.24	$9.55	$12.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $26.30 / $83.18	Facility		$6.17	$26.30	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $9.55	Professional		$2.19	$3.09	$9.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Facility		$147.91	$147.91	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.68 / $9.55	Facility		$2.29	$4.68	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.09 / $5.62	Professional		$2.57	$3.09	$5.62