Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $22.76 / $26.77	Facility		$17.67	$22.76	$26.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $23.44 / $48.50	Professional		$17.75	$23.44	$48.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $27.15 / $49.62	Professional		$18.32	$27.15	$49.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.04 / $736.53 / $878.13	Facility		$626.04	$736.53	$878.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $39.79 / $54.79	Professional		$23.55	$39.79	$54.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Facility		$165.00	$165.00	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $48.35 / $67.09	Professional		$20.00	$48.35	$67.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.88 / $57.28	Facility		$23.44	$30.88	$57.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $48.73 / $408.25	Professional		$27.65	$48.73	$408.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $53.99 / $70.05	Facility		$45.00	$53.99	$70.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $53.88 / $67.84	Professional		$40.33	$53.88	$67.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $40.00 / $63.56	Professional		$26.36	$40.00	$63.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $48.73 / $66.40	Professional		$26.76	$48.73	$66.40