Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $41.69 / $87.10	Facility		$6.03	$41.69	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $4.17 / $19.05	Professional		$1.86	$4.17	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $4.37 / $7.24	Professional		$1.51	$4.37	$7.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $54.95 / $102.33	Facility		$19.95	$54.95	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.57 / $4.90	Professional		$2.40	$4.57	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.50 / $6.92	Professional		$3.31	$5.50	$6.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $54.95 / $87.10	Facility		$5.01	$54.95	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.78 / $5.50	Professional		$1.35	$1.78	$5.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.17 / $7.59	Professional		$3.63	$6.17	$7.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $3.98 / $50.12	Facility		$1.78	$3.98	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.78 / $6.03	Professional		$1.70	$1.78	$6.03