Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $32.36 / $95.50	Facility		$15.85	$32.36	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $50.12	Professional		$5.01	$19.50	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.89 / $11.75	Professional		$3.31	$3.89	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $56.23	Facility		$19.05	$25.12	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.02 / $12.88	Professional		$6.31	$12.02	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $19.05	Professional		$9.12	$15.14	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $9.77 / $70.79	Facility		$4.68	$9.77	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.68 / $8.71	Professional		$3.55	$4.68	$8.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $19.95	Professional		$9.55	$16.22	$19.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $446.68	Facility		$380.19	$380.19	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $7.08 / $14.45	Facility		$3.55	$7.08	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.68 / $8.71	Professional		$4.47	$4.68	$8.71