Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $70.23 / $70.23	Facility		$70.23	$70.23	$70.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $70.31 / $299.77	Professional		$70.23	$70.31	$299.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $127.70 / $162.06	Professional		$127.70	$127.70	$162.06
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 $66.95 / $112.95 / $152.16	Professional		$66.95	$112.95	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $149.55 / $200.60	Professional		$112.00	$149.55	$200.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $112.38 / $279.64	Facility		$66.51	$112.38	$279.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $149.66 / $468.55	Professional		$114.49	$149.66	$468.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $139.60 / $200.60	Facility		$95.41	$139.60	$200.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $153.29 / $200.60	Professional		$113.76	$153.29	$200.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $81.23 / $144.44	Professional		$72.81	$81.23	$144.44
United Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $149.66 / $183.56	Professional		$119.73	$149.66	$183.56