Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $95.50 / $213.80	Facility		$30.20	$95.50	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $30.20 / $54.95	Professional		$9.55	$30.20	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.12 / $28.84	Professional		$6.17	$9.12	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $109.65	Facility		$45.71	$60.26	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $22.39	Professional		$10.96	$20.89	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $32.36	Professional		$13.49	$19.50	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $66.07 / $165.96	Facility		$16.98	$66.07	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $25.12	Professional		$6.76	$8.13	$25.12
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 $741.31 / $870.96 / $870.96	Facility		$741.31	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $12.30 / $25.12	Facility		$6.17	$12.30	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.13 / $15.14	Professional		$7.76	$8.13	$15.14