Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $71.44 / $95.25	Facility		$56.12	$71.44	$95.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $81.58 / $117.56	Professional		$63.18	$81.58	$117.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $90.19 / $135.86	Professional		$90.19	$90.19	$135.86
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 $78.14 / $134.36 / $185.94	Professional		$78.14	$134.36	$185.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $153.54 / $228.79	Professional		$74.00	$153.54	$228.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $99.67 / $171.45	Facility		$71.20	$99.67	$171.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $190.67 / $633.97	Professional		$98.95	$190.67	$633.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.86 / $194.16 / $250.06	Facility		$159.86	$194.16	$250.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $194.16 / $250.06	Professional		$159.86	$194.16	$250.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $114.64 / $193.82	Professional		$89.47	$114.64	$193.82
United Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $176.00 / $239.85	Professional		$98.20	$176.00	$239.85