Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $177.83 / $338.84	Facility		$75.86	$177.83	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $117.49 / $416.87	Professional		$44.67	$117.49	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $81.28 / $87.10	Professional		$33.88	$81.28	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $100.00 / $416.87	Facility		$74.13	$100.00	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $109.65	Professional		$53.70	$102.33	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $162.18	Professional		$77.62	$128.82	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $125.89 / $323.59	Facility		$40.74	$125.89	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $74.13	Professional		$28.18	$40.74	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $173.78	Professional		$83.18	$138.04	$173.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $158.49 / $158.49	Facility		$138.04	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $125.89	Facility		$30.20	$60.26	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $74.13	Professional		$33.11	$40.74	$74.13