Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $173.78	Facility		$19.95	$52.48	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $32.36	Professional		$7.94	$12.02	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.71 / $15.14	Professional		$6.31	$8.71	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $114.82	Facility		$44.67	$58.88	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $20.42	Professional		$10.00	$19.05	$20.42
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 $14.45 / $23.99 / $30.20	Professional		$14.45	$23.99	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $24.55 / $181.97	Facility		$8.32	$24.55	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $23.44	Professional		$5.62	$7.59	$23.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $32.36	Professional		$15.49	$25.70	$32.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,000.00	Facility		$851.14	$851.14	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $11.22 / $23.44	Facility		$5.62	$11.22	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.59 / $13.80	Professional		$7.24	$7.59	$13.80