Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $30.20 / $69.18	Facility		$2.95	$30.20	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.47 / $15.14	Professional		$2.00	$4.47	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.00 / $5.75	Professional		$1.20	$2.00	$5.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.95 / $38.90	Facility		$9.33	$19.95	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.63 / $3.89	Professional		$1.91	$3.63	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $4.17 / $5.13	Professional		$1.55	$4.17	$5.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $21.88 / $53.70	Facility		$2.57	$21.88	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.34 / $4.37	Professional		$1.41	$2.34	$4.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $257.04	Facility		$218.78	$223.87	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $2.14 / $4.37	Facility		$1.07	$2.14	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.34 / $3.47	Professional		$1.41	$2.34	$3.47