Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $954.99	Facility		$16.98	$22.91	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $61.66	Professional		$19.05	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $33.11	Professional		$18.20	$23.44	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $660.69 / $870.96	Facility		$165.96	$660.69	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $54.95	Professional		$22.39	$38.90	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $64.57	Professional		$18.20	$36.31	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.90 / $52.48	Facility		$23.44	$30.90	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $154.88	Professional		$26.92	$44.67	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $67.61	Professional		$50.12	$53.70	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $66.07	Professional		$32.36	$57.54	$66.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $67.61	Professional		$23.99	$39.81	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $120.23	Facility		$39.81	$39.81	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $66.07	Professional		$26.92	$43.65	$66.07