Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $128.82 / $169.82	Facility		$44.67	$128.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $53.70 / $123.03	Professional		$21.88	$53.70	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $125.89	Facility		$44.67	$57.54	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $51.29 / $109.65	Professional		$23.99	$51.29	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $147.91	Professional		$43.65	$95.50	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $107.15	Facility		$22.91	$53.70	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $478.63	Professional		$83.18	$138.04	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $114.82 / $147.91	Professional		$43.65	$114.82	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $102.33 / $147.91	Professional		$39.81	$102.33	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $52.48 / $125.89	Professional		$21.88	$52.48	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $75.86 / $154.88	Professional		$31.62	$75.86	$154.88