Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $102.33 / $331.13	Facility		$44.67	$102.33	$331.13
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $60.26 / $81.28 / $95.50	Facility	CQ	$60.26	$81.28	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $50.12 / $309.03	Professional		$21.88	$50.12	$309.03
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.91 / $48.98 / $128.82	Professional	CQ	$22.91	$48.98	$128.82
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $22.39 / $32.36 / $53.70	Professional	CQ	$22.39	$32.36	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $588.84	Facility		$229.09	$288.40	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $69.18	Professional		$29.51	$50.12	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $39.81 / $128.82	Facility		$38.90	$39.81	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $72.44	Professional		$28.18	$42.66	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $134.90	Facility		$33.11	$85.11	$134.90
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $63.10 / $128.82 / $128.82	Facility	CQ	$63.10	$128.82	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $67.61	Professional		$25.70	$47.86	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $72.44	Professional		$40.74	$52.48	$72.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $75.86	Professional		$42.66	$46.77	$75.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $154.88 / $173.78	Facility		$147.91	$154.88	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $29.51	Facility		$26.30	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $77.62	Professional		$26.30	$30.90	$77.62