Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $112.20 / $213.80	Facility		$22.39	$112.20	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.84 / $93.33	Professional		$10.00	$28.84	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $18.20 / $36.31	Professional		$7.41	$18.20	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $109.65	Facility		$30.20	$44.67	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $24.55	Professional		$12.02	$22.91	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $36.31	Professional		$14.79	$21.88	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $81.28 / $162.18	Facility		$18.20	$81.28	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $27.54	Professional		$9.12	$15.14	$27.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $38.90	Professional		$18.62	$30.90	$38.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Facility		$1,148.15	$1,148.15	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.49 / $28.18	Facility		$6.76	$13.49	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $21.88	Professional		$9.12	$15.14	$21.88