Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $275.42	Facility		$69.18	$117.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $309.03	Professional		$30.90	$43.65	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $120.23 / $346.74	Facility		$83.18	$120.23	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $77.62	Professional		$37.15	$70.79	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $112.20	Professional		$53.70	$91.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $72.44 / $199.53	Facility		$31.62	$72.44	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $83.18	Professional		$21.38	$28.18	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $120.23	Professional		$57.54	$97.72	$120.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Facility		$371.54	$371.54	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.66 / $87.10	Facility		$21.38	$42.66	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $51.29	Professional		$26.92	$28.18	$51.29