Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.27 / $85.57 / $100.68	Facility		$75.27	$85.57	$100.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $97.50 / $147.11	Professional		$74.97	$97.50	$147.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $105.51 / $192.94	Professional		$67.83	$105.51	$192.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.22 / $624.97 / $745.12	Facility		$531.22	$624.97	$745.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $160.63 / $218.59	Professional		$96.18	$160.63	$218.59
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 / $133.91 / $211.83	Professional		$63.00	$133.91	$211.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $106.11 / $190.67	Facility		$87.23	$106.11	$190.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $178.15 / $656.42	Professional		$95.38	$178.15	$656.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.27 / $191.77 / $211.83	Facility		$119.27	$191.77	$211.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $185.87 / $261.70	Professional		$136.12	$185.87	$261.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $123.96 / $220.54	Professional		$84.00	$123.96	$220.54
United Facility/Professional Facility Modifier Low / Median / High Price $109.38 / $109.38 / $109.38	Facility		$109.38	$109.38	$109.38
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $158.32 / $244.68	Professional		$87.18	$158.32	$244.68