Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Facility		$24.70	$24.70	$24.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $39.97 / $80.80	Professional		$24.70	$39.97	$80.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $36.88 / $56.85	Professional		$32.27	$36.88	$56.85
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 $23.34 / $38.97 / $53.03	Professional		$23.34	$38.97	$53.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $56.20 / $64.69	Professional		$37.02	$56.20	$64.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $37.04 / $69.45	Facility		$23.33	$37.04	$69.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $54.54 / $166.47	Professional		$35.45	$54.54	$166.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $58.46 / $69.45	Facility		$48.64	$58.46	$69.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $58.46 / $71.04	Professional		$48.64	$58.46	$71.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $47.59 / $53.64	Professional		$27.30	$47.59	$53.64
United Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $54.54 / $64.81	Professional		$35.45	$54.54	$64.81