Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $17.54 / $37.03	Facility		$13.15	$17.54	$37.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $33.44 / $49.64	Professional		$14.91	$33.44	$49.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $57.73 / $82.75	Professional		$33.96	$57.73	$82.75
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 $18.35 / $36.20 / $71.28	Professional		$18.35	$36.20	$71.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $45.00 / $84.40	Professional		$27.00	$45.00	$84.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $33.96 / $66.65	Facility		$16.76	$33.96	$66.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $78.98 / $251.37	Professional		$38.89	$78.98	$251.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $72.06 / $105.99	Facility		$37.72	$72.06	$105.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $74.52 / $104.88	Professional		$37.72	$74.52	$104.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.79 / $82.15	Professional		$35.90	$39.79	$82.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $73.94 / $97.17	Professional		$38.89	$73.94	$97.17