Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $111.56 / $147.97	Facility		$98.44	$111.56	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $128.02 / $243.92	Professional		$98.44	$128.02	$243.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $151.52 / $273.48	Professional		$111.18	$151.52	$273.48
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 $131.34 / $220.03 / $302.88	Professional		$131.34	$220.03	$302.88
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 $68.00 / $170.49 / $314.14	Professional		$68.00	$170.49	$314.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.78 / $155.38 / $273.76	Facility		$125.78	$155.38	$273.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $189.17 / $858.92	Professional		$115.82	$189.17	$858.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $245.13 / $314.14	Facility		$155.41	$245.13	$314.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $237.62 / $351.54	Professional		$144.44	$237.62	$351.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $157.04 / $305.29	Professional		$114.58	$157.04	$305.29
United Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $207.99 / $339.36	Professional		$114.58	$207.99	$339.36