Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $88.63 / $115.86	Facility		$78.20	$88.63	$115.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $101.02 / $141.03	Professional		$79.29	$101.02	$141.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $228.06 / $286.27	Professional		$89.88	$228.06	$286.27
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 $104.47 / $174.44 / $237.56	Professional		$104.47	$174.44	$237.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $221.19 / $290.83	Professional		$68.00	$221.19	$290.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $124.49 / $225.93	Facility		$103.27	$124.49	$225.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $209.48 / $742.55	Professional		$102.33	$209.48	$742.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $230.41 / $301.54	Facility		$163.38	$230.41	$301.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $219.79 / $297.87	Professional		$141.78	$219.79	$297.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.85 / $247.90	Professional		$102.33	$125.85	$247.90
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $187.94 / $285.48	Professional		$102.33	$187.94	$285.48