Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $151.41 / $298.27	Facility		$57.11	$151.41	$298.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $63.00 / $118.63	Professional		$23.16	$63.00	$118.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $104.38 / $201.90	Facility		$79.36	$104.38	$201.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $55.78 / $57.54	Professional		$50.67	$55.78	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $143.00 / $143.00	Facility		$143.00	$143.00	$143.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $89.83 / $164.83	Professional		$42.11	$89.83	$164.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $70.18 / $167.46	Facility		$38.76	$70.18	$167.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $289.44	Professional		$21.05	$21.05	$289.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $72.29 / $110.01	Facility		$42.11	$72.29	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $75.23 / $100.53	Professional		$42.11	$75.23	$100.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $59.65 / $71.58	Professional		$41.06	$59.65	$71.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.05 / $31.88	Professional		$20.00	$21.05	$31.88