Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.10 / $72.80	Professional		$22.39	$34.10	$72.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $33.38 / $51.46	Professional		$20.03	$33.38	$51.46
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 $21.12 / $35.28 / $48.02	Professional		$21.12	$35.28	$48.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $51.15 / $58.57	Professional		$33.70	$51.15	$58.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $33.59 / $63.09	Facility		$21.12	$33.59	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $49.62 / $151.44	Professional		$32.25	$49.62	$151.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.04 / $53.20 / $63.09	Facility		$44.04	$53.20	$63.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $53.20 / $64.65	Professional		$44.04	$53.20	$64.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $43.08 / $49.19	Professional		$24.71	$43.08	$49.19
United Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $53.40 / $61.45	Professional		$32.25	$53.40	$61.45