Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $88.12 / $298.00	Professional		$58.85	$88.12	$298.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.15 / $33.15 / $83.24	Professional	52	$33.15	$33.15	$83.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $136.99 / $161.25	Professional		$136.99	$136.99	$161.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $109.13 / $148.49	Professional		$65.34	$109.13	$148.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $153.87 / $192.34	Professional		$87.90	$153.87	$192.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $151.11 / $1,420.00	Professional		$87.31	$151.11	$1,420.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $151.03 / $190.00	Professional		$113.20	$151.03	$190.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $77.43 / $148.91	Professional		$41.78	$77.43	$148.91
United Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $153.60 / $174.00	Professional		$87.31	$153.60	$174.00