Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $127.46 / $504.00	Professional		$118.37	$127.46	$504.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.60 / $255.60 / $255.60	Professional		$255.60	$255.60	$255.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $182.88 / $246.68	Professional		$108.54	$182.88	$246.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $253.34 / $309.47	Professional		$148.50	$253.34	$309.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $242.23 / $903.71	Professional		$184.48	$242.23	$903.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.12 / $237.61 / $319.95	Professional		$178.12	$237.61	$319.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $214.00 / $274.57	Professional		$122.73	$214.00	$274.57
United Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $254.98 / $312.73	Professional		$203.98	$254.98	$312.73