Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $83.18 / $144.54	Facility		$29.51	$83.18	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $52.48 / $114.82	Professional		$15.14	$52.48	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $25.70 / $48.98	Professional		$9.77	$25.70	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $144.54	Facility		$28.18	$41.69	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $33.11	Professional		$28.84	$30.90	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.90 / $47.86	Professional		$16.98	$38.90	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $51.29 / $95.50	Facility		$12.02	$51.29	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $165.96	Professional		$8.51	$12.02	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $51.29	Professional		$41.69	$51.29	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $281.84	Facility		$239.88	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.05 / $39.81	Facility		$8.51	$19.05	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.02 / $39.81	Professional		$11.48	$12.02	$39.81