Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $141.25 / $218.78	Facility		$72.44	$141.25	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $239.88	Professional		$23.99	$30.90	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $66.07 / $263.03	Facility		$48.98	$66.07	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $60.26	Professional		$29.51	$54.95	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $87.10	Professional		$36.31	$52.48	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $229.09	Facility		$21.88	$56.23	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $67.61	Professional		$16.60	$21.88	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $93.33	Professional		$44.67	$75.86	$93.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $144.54	Facility		$123.03	$123.03	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $67.61	Facility		$16.60	$33.11	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $41.69	Professional		$20.89	$21.88	$41.69