Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $83.12 / $171.13	Facility		$54.15	$83.12	$171.13
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $83.60 / $99.84 / $213.25	Facility	25	$83.60	$99.84	$213.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $104.87 / $233.00	Professional		$65.01	$104.87	$233.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.20 / $179.40 / $242.81	Professional	25	$72.20	$179.40	$242.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $151.62 / $209.80	Professional		$101.08	$151.62	$209.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $101.08 / $187.00 / $246.29	Professional	25	$101.08	$187.00	$246.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $147.06 / $212.71	Professional		$80.54	$147.06	$212.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $146.68 / $148.00	Facility		$122.00	$146.68	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $183.92 / $260.43	Professional		$105.00	$183.92	$260.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $126.35 / $225.30	Facility		$72.20	$126.35	$225.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $201.64 / $514.87	Professional		$121.32	$201.64	$514.87
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $157.68 / $199.95 / $260.63	Professional	25	$157.68	$199.95	$260.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.88 / $183.92 / $247.08	Facility		$118.88	$183.92	$247.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $163.52 / $247.08	Professional		$118.88	$163.52	$247.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $138.60 / $138.60	Facility		$138.60	$138.60	$138.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $141.47 / $224.10	Professional		$79.26	$141.47	$224.10
United Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $192.09 / $270.89	Professional		$121.32	$192.09	$270.89