Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $36.35 / $120.71	Facility		$7.86	$36.35	$120.71
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $54.87 / $94.75 / $116.17	Facility	25	$54.87	$94.75	$116.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $19.34 / $42.00	Professional		$6.49	$19.34	$42.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $5.00 / $41.22 / $46.16	Professional	25	$5.00	$41.22	$46.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $36.83 / $51.29	Professional		$17.89	$36.83	$51.29
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.68 / $35.79 / $43.57	Professional	25	$19.68	$35.79	$43.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $19.71 / $44.54	Professional		$8.75	$19.71	$44.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $30.10 / $148.00	Facility		$27.00	$30.10	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $33.96 / $59.60	Professional		$12.67	$33.96	$59.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $20.36 / $42.51	Facility		$7.86	$20.36	$42.51
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $94.86 / $94.86 / $108.45	Facility	25	$94.86	$94.86	$108.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $42.30 / $489.00	Professional		$26.03	$42.30	$489.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $38.36 / $43.84 / $53.89	Professional	25	$38.36	$43.84	$53.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $33.96 / $61.52	Facility		$12.62	$33.96	$61.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $31.00 / $54.55	Professional		$14.23	$31.00	$54.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $23.00 / $47.09	Professional		$8.61	$23.00	$47.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $37.96 / $53.70	Professional		$26.03	$37.96	$53.70