Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $63.60 / $84.11	Facility		$56.12	$63.60	$84.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $77.98 / $103.88	Professional		$60.90	$77.98	$103.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $136.69 / $195.91	Professional		$80.41	$136.69	$195.91
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 $74.09 / $126.01 / $170.40	Professional		$74.09	$126.01	$170.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $135.41 / $208.61	Professional		$65.00	$135.41	$208.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.91 / $93.25 / $155.60	Facility		$70.91	$93.25	$155.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $172.98 / $555.30	Professional		$86.75	$172.98	$555.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $176.72 / $231.28	Facility		$161.91	$176.72	$231.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $176.72 / $229.81	Professional		$161.32	$176.72	$229.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $99.76 / $172.98	Professional		$81.43	$99.76	$172.98
United Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $161.41 / $219.99	Professional		$79.34	$161.41	$219.99