Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $58.60 / $117.36	Facility		$35.90	$58.60	$117.36
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $96.00 / $96.00 / $460.56	Facility	25	$96.00	$96.00	$460.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $68.81 / $161.85	Professional		$37.38	$68.81	$161.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.69 / $117.14 / $165.44	Professional	25	$57.69	$117.14	$165.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $106.37 / $136.08	Professional		$51.16	$106.37	$136.08
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $67.66 / $110.80 / $158.82	Professional	25	$67.66	$110.80	$158.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $88.15 / $138.19	Professional		$46.82	$88.15	$138.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $94.71 / $148.00	Facility		$82.00	$94.71	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $115.86 / $172.29	Professional		$67.94	$115.86	$172.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $76.15 / $156.28	Facility		$42.23	$76.15	$156.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $138.86 / $456.37	Professional		$85.45	$138.86	$456.37
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $105.73 / $136.65 / $176.20	Professional	25	$105.73	$136.65	$176.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $115.86 / $172.29	Facility		$67.94	$115.86	$172.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $110.28 / $169.16	Professional		$78.00	$110.28	$169.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $130.05 / $130.05 / $130.05	Facility		$130.05	$130.05	$130.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $85.86 / $146.66	Professional		$45.68	$85.86	$146.66
United Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $138.86 / $174.68	Professional		$85.45	$138.86	$174.68