Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $55.69 / $62.80	Facility		$55.69	$55.69	$62.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $62.50 / $81.06	Professional		$51.87	$62.50	$81.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $49.32 / $49.32	Professional		$49.32	$49.32	$49.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.63 / $299.57 / $357.16	Facility		$254.63	$299.57	$357.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $98.46 / $133.16	Professional		$57.77	$98.46	$133.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $131.18 / $163.02	Professional		$51.00	$131.18	$163.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $67.62 / $119.32	Facility		$53.38	$67.62	$119.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $114.84 / $417.96	Professional		$51.25	$114.84	$417.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.28 / $139.80 / $178.32	Facility		$122.28	$139.80	$178.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $139.80 / $170.08	Professional		$122.28	$139.80	$170.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $58.08 / $118.42	Professional		$50.39	$58.08	$118.42
United Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $80.11 / $157.63	Professional		$50.54	$80.11	$157.63