Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $63.71	Professional		$17.55	$17.55	$63.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.31 / $13.31	Professional		$13.31	$13.31	$13.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $36.15 / $36.15	Facility		$36.15	$36.15	$36.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $41.46 / $43.64	Professional		$29.27	$41.46	$43.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.97 / $68.12	Professional		$53.00	$53.97	$68.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $66.77 / $126.40	Facility		$17.55	$66.77	$126.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $47.90 / $86.27	Professional		$26.17	$47.90	$86.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $54.82 / $75.04	Facility		$47.13	$54.82	$75.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $53.97 / $68.12	Professional		$34.59	$53.97	$68.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $31.13 / $54.28	Professional		$25.89	$31.13	$54.28
United Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $26.61 / $58.08	Professional		$25.28	$26.61	$58.08