Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $59.08 / $66.81	Facility		$59.08	$59.08	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $66.47 / $88.59	Professional		$54.90	$66.47	$88.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $134.25 / $134.25	Professional		$134.25	$134.25	$134.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.22 / $624.97 / $745.12	Facility		$531.22	$624.97	$745.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $102.80 / $140.63	Professional		$61.14	$102.80	$140.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $150.05 / $187.87	Professional		$54.00	$150.05	$187.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $71.84 / $126.94	Facility		$56.79	$71.84	$126.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $123.06 / $442.04	Professional		$55.04	$123.06	$442.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.56 / $165.88 / $211.33	Facility		$138.56	$165.88	$211.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $163.93 / $185.78	Professional		$131.85	$163.93	$185.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $62.38 / $125.68	Professional		$53.69	$62.38	$125.68
United Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $112.51 / $166.10	Professional		$54.44	$112.51	$166.10