Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $141.25	Facility		$93.33	$107.15	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $177.83	Professional		$102.33	$128.82	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $173.78	Professional		$95.50	$117.49	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $602.56	Facility		$275.42	$446.68	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $288.40	Professional		$123.03	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $302.00	Professional		$97.72	$190.55	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $245.47	Facility		$123.03	$144.54	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $831.76	Professional		$95.50	$199.53	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $354.81	Professional		$169.82	$269.15	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $346.74	Professional		$169.82	$263.03	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $239.88	Professional		$85.11	$134.90	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $316.23	Professional		$85.11	$177.83	$316.23