Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.90 / $123.03	Facility		$23.44	$30.90	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $28.18	Professional		$7.08	$10.96	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $29.51	Professional		$5.75	$5.89	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $77.62	Facility		$30.20	$40.74	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.78 / $19.50	Professional		$9.33	$17.78	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $27.54	Professional		$13.18	$21.88	$27.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $23.44 / $120.23	Facility		$7.76	$23.44	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.08 / $12.88	Professional		$5.25	$7.08	$12.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $30.20	Professional		$14.45	$23.99	$30.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Facility		$208.93	$208.93	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.47 / $21.88	Facility		$5.25	$10.47	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.08 / $12.88	Professional		$5.50	$7.08	$12.88