Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $129.80 / $240.10	Facility		$44.00	$129.80	$240.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $65.00 / $115.39	Professional		$23.16	$65.00	$115.39
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 / $71.48 / $89.83	Professional		$42.11	$71.48	$89.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $70.66 / $167.46	Facility		$38.56	$70.66	$167.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $313.33	Professional		$21.05	$21.05	$313.33
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 / $70.18	Professional		$20.00	$21.05	$70.18