Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $85.36 / $100.43	Facility		$66.87	$85.36	$100.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $88.37 / $159.50	Professional		$68.59	$88.37	$159.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $102.36 / $184.76	Professional		$68.33	$102.36	$184.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.98 / $499.97 / $596.09	Facility		$424.98	$499.97	$596.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $149.27 / $205.47	Professional		$89.01	$149.27	$205.47
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 $63.00 / $118.99 / $213.99	Professional		$63.00	$118.99	$213.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $105.74 / $185.80	Facility		$85.94	$105.74	$185.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $138.76 / $581.94	Professional		$80.84	$138.76	$581.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.29 / $163.36 / $213.99	Facility		$105.29	$163.36	$213.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $158.35 / $237.69	Professional		$100.62	$158.35	$237.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $106.47 / $206.24	Professional		$77.73	$106.47	$206.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $138.76 / $222.46	Professional		$77.73	$138.76	$222.46