Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $60.86 / $81.56	Facility		$17.64	$60.86	$81.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $37.53 / $110.00	Professional		$17.64	$37.53	$110.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $41.11 / $41.11	Professional		$26.67	$41.11	$41.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $222.61 / $430.60	Facility		$169.25	$222.61	$430.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $28.19 / $38.36	Professional		$16.87	$28.19	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $41.25 / $52.75	Professional		$31.28	$41.25	$52.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $30.87 / $66.48	Facility		$17.64	$30.87	$66.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $46.29 / $440.85	Professional		$33.61	$46.29	$440.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $45.60 / $57.03	Facility		$35.15	$45.60	$57.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.04 / $55.66	Professional		$35.15	$48.04	$55.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $34.40 / $38.54	Professional		$19.73	$34.40	$38.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $49.13 / $64.06	Professional		$33.61	$49.13	$64.06