Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $223.87 / $537.03	Facility		$52.48	$223.87	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $67.61 / $229.09	Professional		$27.54	$67.61	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $69.18	Professional		$19.05	$33.11	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $85.11 / $245.47	Facility		$48.98	$85.11	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $60.26 / $64.57	Professional		$31.62	$60.26	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $93.33	Professional		$33.88	$75.86	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $218.78 / $323.59	Facility		$54.95	$218.78	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $69.18	Professional		$16.98	$23.44	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $63.10	Facility		$17.78	$35.48	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $43.65	Professional		$22.39	$23.44	$43.65