Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $107.84 / $430.00	Professional		$63.43	$107.84	$430.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $130.49 / $153.60	Professional		$130.49	$130.49	$153.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $107.84 / $146.74	Professional		$64.56	$107.84	$146.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $160.66 / $220.59	Professional		$108.23	$160.66	$220.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $177.46 / $1,554.00	Professional		$107.22	$177.46	$1,554.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $177.89 / $231.58	Professional		$133.53	$177.89	$231.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $98.63 / $141.84	Professional		$56.57	$98.63	$141.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $174.64 / $204.30	Professional		$107.22	$174.64	$204.30