Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $199.53	Facility		$70.79	$128.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $112.20	Professional		$22.91	$37.15	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $19.05	Professional		$14.79	$17.38	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $263.03	Facility		$79.43	$107.15	$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 Professional Modifier Low / Median / High Price $29.51 / $69.18 / $83.18	Professional		$29.51	$69.18	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $70.79 / $165.96	Facility		$20.89	$70.79	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $138.04	Professional		$14.79	$20.89	$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 $1,288.25 / $1,513.56 / $1,659.59	Facility		$1,288.25	$1,513.56	$1,659.59
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 / $35.48	Professional		$19.95	$20.89	$35.48