Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $172.30	Professional		$22.10	$22.10	$172.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $79.98	Professional		$16.84	$16.84	$79.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.05 / $377.05 / $377.05	Facility		$377.05	$377.05	$377.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $52.15 / $54.90	Professional		$36.82	$52.15	$54.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $68.17 / $84.33	Professional		$55.17	$68.17	$84.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $109.98 / $269.79	Facility		$22.10	$109.98	$269.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $62.30 / $747.34	Professional		$33.49	$62.30	$747.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.41 / $67.86 / $215.53	Facility		$60.41	$67.86	$215.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $74.52 / $104.00	Professional		$61.72	$74.52	$104.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $55.81 / $68.70	Professional		$38.40	$55.81	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $37.29 / $126.64	Professional		$31.82	$37.29	$126.64