Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.89 / $123.89 / $126.05	Facility		$123.89	$123.89	$126.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $130.84 / $163.86	Professional		$106.68	$130.84	$163.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $293.14	Professional		$231.00	$231.00	$293.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.61 / $808.24 / $1,266.95	Facility		$624.61	$808.24	$1,266.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.68 / $205.19 / $278.80	Professional		$122.68	$205.19	$278.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.21 / $292.39 / $344.51	Professional		$255.21	$292.39	$344.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.89 / $207.98 / $322.33	Facility		$123.89	$207.98	$322.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $283.19 / $831.61	Professional		$209.70	$283.19	$831.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.21 / $302.92 / $350.57	Facility		$255.21	$302.92	$350.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $302.92 / $350.69	Professional		$261.22	$302.92	$350.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $237.60 / $275.36	Professional		$140.76	$237.60	$275.36
United Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $283.19 / $321.49	Professional		$216.25	$283.19	$321.49