Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $190.55 / $489.78	Facility		$24.55	$190.55	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $70.79	Professional		$6.03	$12.02	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.24 / $7.76	Professional		$6.92	$7.24	$7.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $40.74 / $79.43	Facility		$28.84	$40.74	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.85 / $16.98	Professional		$8.32	$15.85	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $25.12	Professional		$12.02	$19.95	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $190.55 / $281.84	Facility		$15.85	$190.55	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.17 / $19.05	Professional		$4.68	$6.17	$19.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.38 / $26.30	Professional		$12.59	$21.38	$26.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,290.87	Facility		$1,949.84	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $9.33 / $19.05	Facility		$4.68	$9.33	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.17 / $11.22	Professional		$5.89	$6.17	$11.22