Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.65 / $93.13 / $124.17	Facility		$76.65	$93.13	$124.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $110.58 / $147.05	Professional		$86.46	$110.58	$147.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $180.69 / $197.47	Professional		$119.68	$180.69	$197.47
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 $104.25 / $181.63 / $244.61	Professional		$104.25	$181.63	$244.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $204.19 / $298.58	Professional		$97.00	$204.19	$298.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $134.03 / $229.71	Facility		$99.21	$134.03	$229.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $254.07 / $817.07	Professional		$129.04	$254.07	$817.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.59 / $254.55 / $327.82	Facility		$208.59	$254.55	$327.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.59 / $254.55 / $327.82	Professional		$208.59	$254.55	$327.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $149.65 / $265.81	Professional		$117.29	$149.65	$265.81
United Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $234.65 / $319.77	Professional		$126.62	$234.65	$319.77