Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.11	Facility		$4.11	$4.11	$4.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $6.03 / $33.22	Professional		$4.11	$6.03	$33.22
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $8.40 / $10.00 / $12.47	Professional	25	$8.40	$10.00	$12.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $6.52 / $9.61	Professional		$3.36	$6.52	$9.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.76 / $171.48 / $204.45	Facility		$145.76	$171.48	$204.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $6.61 / $8.99	Professional		$3.96	$6.61	$8.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.24 / $10.31	Professional		$3.00	$8.24	$10.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $5.34 / $10.56	Facility		$3.95	$5.34	$10.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $9.55 / $29.81	Professional		$6.98	$9.55	$29.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $10.11 / $12.50	Facility		$7.88	$10.11	$12.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $9.88 / $12.50	Professional		$7.88	$9.88	$12.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $8.06 / $9.99	Professional		$4.62	$8.06	$9.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $8.93 / $10.78	Professional		$6.67	$8.93	$10.78