Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $38.63 / $219.21	Professional		$38.63	$38.63	$219.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $28.61 / $144.12	Professional		$27.81	$28.61	$144.12
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 $63.07 / $89.34 / $94.04	Professional		$63.07	$89.34	$94.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $114.84 / $138.03	Professional		$68.48	$114.84	$138.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $139.06 / $332.76	Facility		$38.63	$139.06	$332.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $87.58 / $951.12	Professional		$58.54	$87.58	$951.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $116.18 / $269.31	Facility		$104.77	$116.18	$269.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $116.18 / $149.60	Professional		$100.00	$116.18	$149.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $94.55 / $113.97	Professional		$65.08	$94.55	$113.97
United Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $62.88 / $157.97	Professional		$55.61	$62.88	$157.97