Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.22 / $101.12 / $120.20	Facility		$89.22	$101.12	$120.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $118.97 / $149.03	Professional		$92.61	$118.97	$149.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $196.28 / $253.84	Professional		$168.24	$196.28	$253.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $338.82 / $403.96	Facility		$288.00	$338.82	$403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $190.93 / $259.81	Professional		$114.31	$190.93	$259.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $258.92 / $328.18	Professional		$132.00	$258.92	$328.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $138.47 / $226.04	Facility		$102.23	$138.47	$226.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $265.39 / $794.81	Professional		$124.89	$265.39	$794.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $244.69 / $265.39 / $347.32	Facility		$244.69	$265.39	$347.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $238.22 / $265.87 / $343.35	Professional		$238.22	$265.87	$343.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $129.96 / $249.93	Professional		$96.86	$129.96	$249.93
United Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $239.51 / $315.39	Professional		$100.75	$239.51	$315.39