Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.52 / $149.21 / $220.66	Facility		$114.52	$149.21	$220.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $146.35 / $255.00	Professional		$113.45	$146.35	$255.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $163.40 / $294.91	Professional		$108.93	$163.40	$294.91
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $27.23 / $30.26 / $34.86	Professional	52	$27.23	$30.26	$34.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.51 / $512.37 / $610.87	Facility		$435.51	$512.37	$610.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $248.63 / $342.24	Professional		$145.44	$248.63	$342.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Facility		$285.00	$285.00	$285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $186.30 / $339.58	Professional		$75.00	$186.30	$339.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $175.54 / $305.20	Facility		$139.43	$175.54	$305.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $239.25 / $951.03	Professional		$134.15	$239.25	$951.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $250.63 / $372.50	Facility		$172.12	$250.63	$372.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $242.93 / $378.11	Professional		$172.12	$242.93	$378.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $180.89 / $329.22	Professional		$134.15	$180.89	$329.22
United Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $213.51 / $342.32	Professional		$134.15	$213.51	$342.32