Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $66.86 / $87.67	Facility		$58.99	$66.86	$87.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $78.14 / $120.00	Professional		$60.92	$78.14	$120.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $151.01 / $183.98	Professional		$67.95	$151.01	$183.98
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 $78.93 / $131.59 / $179.41	Professional		$78.93	$131.59	$179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $167.16 / $219.57	Professional		$42.00	$167.16	$219.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $92.64 / $162.19	Facility		$75.51	$92.64	$162.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $159.12 / $561.11	Professional		$77.38	$159.12	$561.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $174.59 / $228.47	Facility		$104.52	$174.59	$228.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $166.68 / $226.39	Professional		$104.52	$166.68	$226.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $99.41 / $187.43	Professional		$77.38	$99.41	$187.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $139.72 / $216.85	Professional		$77.38	$139.72	$216.85