Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $75.86 / $107.15	Facility		$14.45	$75.86	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $9.12 / $32.36	Professional		$4.27	$9.12	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.37 / $11.22	Professional		$2.75	$4.37	$11.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $77.62	Facility		$19.05	$27.54	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.77 / $10.72	Professional		$5.13	$9.77	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.33 / $15.49	Professional		$6.46	$9.33	$15.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $54.95 / $102.33	Facility		$8.51	$54.95	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.89 / $12.02	Professional		$2.88	$3.89	$12.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.18 / $16.60	Professional		$7.94	$13.18	$16.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $177.83 / $177.83	Facility		$154.88	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.75 / $12.02	Facility		$2.88	$5.75	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.89 / $7.08	Professional		$3.24	$3.89	$7.08