Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $36.31 / $85.11	Facility		$9.55	$36.31	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $7.41 / $28.18	Professional		$2.00	$7.41	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.02 / $6.31	Professional		$2.51	$3.02	$6.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $31.62 / $57.54	Facility		$16.98	$31.62	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.46 / $7.08	Professional		$3.39	$6.46	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.32 / $10.23	Professional		$5.01	$8.32	$10.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $29.51 / $81.28	Facility		$5.62	$29.51	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.57 / $7.94	Professional		$1.91	$2.57	$7.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.71 / $10.96	Professional		$5.25	$8.71	$10.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
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 $1.91 / $3.80 / $7.94	Facility		$1.91	$3.80	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.57 / $4.68	Professional		$2.45	$2.57	$4.68