Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.59 / $52.80 / $69.20	Facility		$46.59	$52.80	$69.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $62.12 / $110.52	Professional		$48.63	$62.12	$110.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $118.92 / $144.87	Professional		$59.46	$118.92	$144.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.63 / $299.57 / $357.16	Facility		$254.63	$299.57	$357.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $103.93 / $141.59	Professional		$62.22	$103.93	$141.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $132.58 / $173.36	Professional		$25.00	$132.58	$173.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $71.02 / $121.10	Facility		$58.82	$71.02	$121.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $125.68 / $443.16	Professional		$61.40	$125.68	$443.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.52 / $137.79 / $180.35	Facility		$82.52	$137.79	$180.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $131.61 / $178.78	Professional		$82.22	$131.61	$178.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $78.87 / $147.59	Professional		$61.40	$78.87	$147.59
United Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $110.29 / $171.27	Professional		$61.40	$110.29	$171.27