Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $112.00 / $367.09	Facility		$55.17	$112.00	$367.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $225.63	Professional		$23.16	$23.16	$225.63
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 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 $23.16 / $78.31 / $166.68	Facility		$23.16	$78.31	$166.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $138.34	Professional		$21.05	$21.05	$138.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $72.29 / $100.48	Facility		$42.11	$72.29	$100.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $72.29 / $98.41	Professional		$42.11	$72.29	$98.41
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 Facility Modifier Low / Median / High Price $21.05 / $38.60 / $155.96	Facility		$21.05	$38.60	$155.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.05 / $31.58	Professional		$20.00	$21.05	$31.58