Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $223.87	Facility		$50.12	$50.12	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $56.23 / $95.50	Professional		$25.12	$56.23	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $245.47	Facility		$131.83	$186.21	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $144.54	Professional		$26.92	$60.26	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $186.21	Professional		$32.36	$87.10	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $67.61 / $131.83	Facility		$25.70	$67.61	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $467.74	Professional		$70.79	$147.91	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $190.55	Professional		$53.70	$100.00	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $151.36 / $190.55	Professional		$57.54	$151.36	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $70.79 / $165.96	Professional		$31.62	$70.79	$165.96