Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $269.15 / $741.31	Facility		$102.33	$269.15	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $436.52	Professional		$48.98	$123.03	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $85.11	Professional		$29.51	$41.69	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $501.19	Facility		$79.43	$117.49	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $114.82	Professional		$102.33	$109.65	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $134.90 / $169.82	Professional		$43.65	$134.90	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $162.18 / $295.12	Facility		$83.18	$162.18	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $575.44	Professional		$29.51	$41.69	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $141.25	Facility		$29.51	$66.07	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $97.72	Professional		$39.81	$41.69	$97.72