Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Facility		$21.88	$21.88	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $23.44	Professional		$10.00	$12.88	$23.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	25	$27.54	$27.54	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $16.22	Professional		$8.91	$10.72	$16.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $25.12	Professional		$10.47	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $35.48	Professional		$13.80	$22.39	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $25.12	Facility		$10.96	$16.22	$25.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.12 / $199.53	Professional		$12.88	$25.12	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $30.90	Professional		$20.89	$25.12	$30.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $30.20	Professional		$17.38	$23.99	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.30 / $30.20	Professional		$10.47	$12.30	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.38 / $31.62	Professional		$12.30	$21.38	$31.62