Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $88.98 / $115.20	Facility		$78.51	$88.98	$115.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $104.68 / $133.21	Professional		$86.40	$104.68	$133.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $190.34 / $272.83	Professional		$111.97	$190.34	$272.83
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 $105.03 / $178.31 / $238.71	Professional		$105.03	$178.31	$238.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $189.79 / $286.08	Professional		$87.00	$189.79	$286.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $124.13 / $213.12	Facility		$97.92	$124.13	$213.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $226.99 / $747.63	Professional		$118.26	$226.99	$747.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $231.91 / $303.51	Facility		$212.68	$231.91	$303.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $231.91 / $303.51	Professional		$211.74	$231.91	$303.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $139.60 / $251.93	Professional		$113.28	$139.60	$251.93
United Facility/Professional Professional Modifier Low / Median / High Price $116.58 / $211.03 / $302.27	Professional		$116.58	$211.03	$302.27