Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.20 / $144.72 / $192.96	Facility		$119.20	$144.72	$192.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $194.62 / $449.42	Professional		$135.71	$194.62	$449.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $169.08 / $391.00 / $460.00	Professional	25	$169.08	$391.00	$460.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.54 / $340.85 / $488.54	Professional		$210.54	$340.85	$488.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $200.50 / $350.87 / $488.54	Professional	25	$200.50	$350.87	$488.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.63 / $306.36 / $421.70	Professional		$178.63	$306.36	$421.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $148.00 / $287.20	Facility		$148.00	$148.00	$287.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $397.74 / $516.25	Professional		$215.38	$397.74	$516.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.93 / $270.18 / $434.52	Facility		$158.93	$270.18	$434.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $394.55 / $1,134.11	Professional		$239.05	$394.55	$1,134.11
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $365.53 / $435.09 / $519.70	Professional	25	$365.53	$435.09	$519.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $361.54 / $488.67	Facility		$263.45	$361.54	$488.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $345.54 / $488.67	Professional		$263.45	$345.54	$488.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $312.93 / $451.12	Professional		$176.87	$312.93	$451.12
United Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $382.08 / $527.57	Professional		$235.13	$382.08	$527.57
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $90.00 / $90.00	Professional	25	$80.00	$90.00	$90.00