Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $154.88 / $954.99	Facility		$22.91	$154.88	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.60 / $85.11	Professional		$8.91	$16.60	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $21.38	Professional		$10.23	$13.18	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $186.21	Facility		$44.67	$57.54	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $22.91	Professional		$10.00	$16.22	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $32.36	Professional		$13.49	$25.70	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $25.12 / $131.83	Facility		$9.77	$25.12	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $89.13	Professional		$12.02	$19.05	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.89 / $25.70	Professional		$19.50	$20.89	$25.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $25.70	Professional		$15.85	$22.91	$25.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,548.13	Facility		$3,090.30	$3,090.30	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $28.18	Professional		$11.75	$21.38	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $24.55	Professional		$12.02	$17.38	$24.55