Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $22.53 / $40.17	Facility		$16.89	$22.53	$40.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $36.32 / $51.03	Professional		$19.14	$36.32	$51.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $65.03 / $93.22	Professional		$38.26	$65.03	$93.22
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 $23.60 / $43.32 / $78.43	Professional		$23.60	$43.32	$78.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $94.35	Professional		$30.00	$48.00	$94.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $40.17 / $72.31	Facility		$21.64	$40.17	$72.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $87.26 / $278.14	Professional		$42.70	$87.26	$278.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $79.58 / $114.58	Facility		$48.04	$79.58	$114.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $80.56 / $114.39	Professional		$48.04	$80.56	$114.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $46.76 / $88.81	Professional		$40.57	$46.76	$88.81
United Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $80.55 / $105.70	Professional		$42.05	$80.55	$105.70