Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $181.97 / $323.59	Facility		$67.61	$181.97	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $204.17	Professional		$39.81	$100.00	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $30.90 / $74.13	Professional		$10.00	$30.90	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $446.68	Facility		$83.18	$123.03	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $102.33	Professional		$50.12	$93.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $147.91	Professional		$70.79	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $302.00	Facility		$61.66	$117.49	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $100.00	Professional		$28.18	$37.15	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $158.49	Professional		$75.86	$128.82	$158.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $169.82	Facility		$144.54	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $114.82	Facility		$28.18	$56.23	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $67.61	Professional		$35.48	$37.15	$67.61