Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $59.02 / $79.09	Facility		$23.75	$59.02	$79.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $26.98 / $103.75	Professional		$23.75	$26.98	$103.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $55.90	Professional		$47.49	$47.49	$55.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $118.23 / $228.70	Facility		$89.89	$118.23	$228.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $37.84 / $51.49	Professional		$22.66	$37.84	$51.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $52.02 / $64.69	Professional		$32.15	$52.02	$64.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $40.24 / $65.12	Facility		$23.75	$40.24	$65.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $51.00 / $158.99	Professional		$33.15	$51.00	$158.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $54.31 / $67.17	Facility		$47.22	$54.31	$67.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $52.84 / $67.17	Professional		$37.02	$52.84	$67.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $46.80 / $53.51	Professional		$26.84	$46.80	$53.51
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $54.65 / $63.16	Professional		$33.15	$54.65	$63.16