Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $363.08	Facility		$67.61	$141.25	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $52.48 / $114.82	Professional		$25.70	$52.48	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $60.26	Professional		$14.79	$19.05	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $114.82 / $263.03	Facility		$79.43	$114.82	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $57.54	Professional		$50.12	$54.95	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $173.78	Professional		$29.51	$72.44	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $70.79 / $169.82	Facility		$38.90	$70.79	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $138.04	Professional		$20.89	$28.84	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $89.13	Professional		$72.44	$89.13	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $239.88	Facility		$204.17	$239.88	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $70.79	Professional		$56.23	$60.26	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $70.79	Facility		$14.79	$33.11	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $63.10	Professional		$19.95	$20.89	$63.10