Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $76.73 / $436.65	Professional		$76.73	$76.73	$436.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $141.88 / $141.88	Professional		$141.88	$141.88	$141.88
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 $73.65 / $124.27 / $167.41	Professional		$73.65	$124.27	$167.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $170.77 / $227.14	Professional		$131.40	$170.77	$227.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $107.61 / $194.29	Facility		$73.90	$107.61	$194.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $171.60 / $509.49	Professional		$129.87	$171.60	$509.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $170.77 / $227.14	Facility		$116.46	$170.77	$227.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $173.55 / $227.14	Professional		$138.99	$173.55	$227.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $94.17 / $164.17	Professional		$82.07	$94.17	$164.17
United Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $162.34 / $199.11	Professional		$124.19	$162.34	$199.11