Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $72.44	Facility		$48.98	$61.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $114.82	Professional		$57.54	$75.86	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $151.36	Professional		$52.48	$70.79	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $302.00 / $407.38	Facility		$288.40	$302.00	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $147.91	Professional		$61.66	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $173.78	Professional		$52.48	$83.18	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $81.28 / $131.83	Facility		$63.10	$81.28	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $489.78	Professional		$75.86	$154.88	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $204.17	Professional		$147.91	$162.18	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $204.17	Professional		$147.91	$165.96	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $147.91	Professional		$72.44	$87.10	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $186.21	Professional		$74.13	$134.90	$186.21