Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $52.48	Facility		$42.66	$42.66	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $54.95	Professional		$20.89	$25.70	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $18.62	Professional		$15.49	$15.49	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $46.77	Professional		$20.42	$34.67	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $67.61	Professional		$26.30	$43.65	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $48.98	Facility		$21.38	$30.90	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $346.74	Professional		$23.99	$47.86	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $57.54	Professional		$40.74	$50.12	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $56.23	Professional		$33.11	$45.71	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $57.54	Professional		$19.50	$22.91	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $60.26	Professional		$23.99	$41.69	$60.26