Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $91.20	Facility		$81.28	$81.28	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $199.53	Professional		$77.62	$95.50	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $165.96	Professional		$66.07	$81.28	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $616.60	Facility		$165.96	$457.09	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $194.98	Professional		$83.18	$141.25	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $177.83 / $251.19	Professional		$69.18	$177.83	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $165.96	Facility		$77.62	$97.72	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $616.60	Professional		$75.86	$154.88	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $239.88	Professional		$177.83	$194.98	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $234.42	Professional		$181.97	$204.17	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $138.04	Professional		$72.44	$85.11	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $213.80	Professional		$75.86	$128.82	$213.80