Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $48.98 / $102.33	Facility		$21.88	$48.98	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $107.15	Professional		$10.00	$12.02	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $7.94	Professional		$6.76	$6.76	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $87.10	Facility		$28.18	$37.15	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.55 / $26.30	Professional		$12.88	$24.55	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.90 / $38.90	Professional		$14.79	$30.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $23.99 / $75.86	Facility		$9.55	$23.99	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $17.78	Professional		$6.76	$9.55	$17.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $40.74	Professional		$14.79	$33.11	$40.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Facility		$1,148.15	$1,148.15	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $14.45 / $23.99	Facility		$7.24	$14.45	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.55 / $17.78	Professional		$9.12	$9.55	$17.78