Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $30.24 / $32.40	Facility		$30.24	$30.24	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $34.10 / $47.12	Professional		$30.24	$34.10	$47.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $72.61 / $72.61	Professional		$61.72	$72.61	$72.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.72 / $301.64 / $301.64	Facility		$269.72	$301.64	$301.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $50.14 / $68.40	Professional		$30.10	$50.14	$68.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $71.31 / $86.81	Professional		$49.31	$71.31	$86.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $51.41 / $84.60	Facility		$30.24	$51.41	$84.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $76.98 / $514.16	Professional		$61.58	$76.98	$514.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $70.20 / $80.28	Facility		$47.95	$70.20	$80.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $71.48 / $82.11	Professional		$50.89	$71.48	$82.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $33.09 / $101.20	Professional		$28.13	$33.09	$101.20
United Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $76.98 / $94.42	Professional		$58.89	$76.98	$94.42