Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $33.04 / $44.28	Facility		$13.35	$33.04	$44.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $6.68 / $16.52 / $22.14	Facility	52	$6.68	$16.52	$22.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $20.98 / $63.80	Professional		$13.35	$20.98	$63.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $25.09 / $33.92	Professional		$12.39	$25.09	$33.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.24 / $663.22 / $1,282.88	Facility		$504.24	$663.22	$1,282.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $21.34 / $29.03	Professional		$12.77	$21.34	$29.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $29.66 / $38.54	Professional		$18.45	$29.66	$38.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $22.70 / $38.69	Facility		$13.35	$22.70	$38.69
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $26.62 / $52.73 / $52.73	Facility	52	$26.62	$52.73	$52.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $29.45 / $250.96	Professional		$18.89	$29.45	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $32.79 / $38.54	Facility		$26.64	$32.79	$38.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $30.00 / $38.26	Professional		$22.73	$30.00	$38.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $26.66 / $29.70	Professional		$15.29	$26.66	$29.70
United Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $30.65 / $36.02	Professional		$18.89	$30.65	$36.02