Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.10 / $146.47 / $195.29	Facility		$129.10	$146.47	$195.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $161.16 / $318.47	Professional		$125.07	$161.16	$318.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $273.98 / $273.98 / $354.38	Professional	25	$273.98	$273.98	$354.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.08 / $300.35 / $385.18	Professional		$158.08	$300.35	$385.18
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 $164.97 / $281.20 / $381.94	Professional		$164.97	$281.20	$381.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $297.52 / $441.08	Professional		$65.00	$297.52	$441.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.28 / $195.29 / $325.69	Facility		$153.28	$195.29	$325.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $270.33 / $1,080.07	Professional		$150.09	$270.33	$1,080.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.27 / $304.95 / $429.55	Facility		$217.27	$304.95	$429.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $287.18 / $460.82	Professional		$186.00	$287.18	$460.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $200.11 / $367.87	Professional		$150.09	$200.11	$367.87
United Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $240.13 / $400.00	Professional		$150.09	$240.13	$400.00