Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $181.30 / $398.28	Facility		$46.27	$181.30	$398.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $46.27 / $170.10	Professional		$11.31	$46.27	$170.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $26.19 / $108.60	Professional		$16.13	$26.19	$108.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $58.19 / $112.56	Facility		$44.24	$58.19	$112.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $26.78 / $94.01	Professional		$11.78	$26.78	$94.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $243.00 / $243.00	Facility		$243.00	$243.00	$243.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $85.53 / $121.90	Professional		$22.72	$85.53	$121.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $60.15 / $292.00	Facility		$12.90	$60.15	$292.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $98.84 / $188.47	Professional		$64.51	$98.84	$188.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $93.57 / $121.02	Facility		$22.72	$93.57	$121.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $78.56 / $121.02	Professional		$22.72	$78.56	$121.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $44.56 / $90.92	Professional		$11.90	$44.56	$90.92
United Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $94.56 / $116.14	Professional		$75.65	$94.56	$116.14