Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $61.66	Facility		$54.95	$54.95	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $131.83	Professional		$54.95	$64.57	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $131.83	Professional		$48.98	$56.23	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $354.81	Facility		$257.04	$302.00	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $131.83	Professional		$54.95	$95.50	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $173.78	Professional		$47.86	$123.03	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $66.07 / $112.20	Facility		$53.70	$66.07	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $416.87	Professional		$51.29	$104.71	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $162.18	Professional		$123.03	$134.90	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $162.18	Professional		$123.03	$141.25	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Professional		$50.12	$57.54	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $144.54	Professional		$51.29	$87.10	$144.54