Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $86.77 / $232.88	Facility		$27.27	$86.77	$232.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $78.31 / $118.31	Professional		$27.27	$78.31	$118.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Professional		$136.00	$136.00	$136.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $367.39 / $689.68	Facility		$271.08	$367.39	$689.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $64.78 / $156.46	Professional		$28.50	$64.78	$156.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $99.25 / $196.62	Professional		$47.17	$99.25	$196.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $78.31 / $174.64	Facility		$28.32	$78.31	$174.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $169.91 / $586.42	Professional		$93.74	$169.91	$586.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $155.69 / $210.76	Facility		$60.52	$155.69	$210.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $155.69 / $196.62	Professional		$57.95	$155.69	$196.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $86.31 / $177.28	Professional		$30.78	$86.31	$177.28
United Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $152.33 / $200.50	Professional		$85.93	$152.33	$200.50