Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $69.18 / $173.78	Facility		$26.92	$69.18	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $20.89 / $75.86	Professional		$7.94	$20.89	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $19.50 / $29.51	Professional		$7.59	$19.50	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $45.71 / $87.10	Facility		$28.84	$45.71	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.62 / $19.95	Professional		$9.77	$18.62	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $22.91 / $28.18	Professional		$7.59	$22.91	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.02 / $95.50	Facility		$12.02	$38.02	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $22.39	Professional		$6.03	$7.24	$22.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.96 / $22.39	Facility		$5.50	$10.96	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.24 / $13.18	Professional		$6.92	$7.24	$13.18