Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.68 / $175.76 / $384.21	Facility		$107.68	$175.76	$384.21
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $312.60 / $335.81 / $384.21	Facility	25	$312.60	$335.81	$384.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $158.09 / $316.10	Professional		$95.01	$158.09	$316.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $114.55 / $198.02 / $322.52	Professional	25	$114.55	$198.02	$322.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $270.33 / $350.00	Professional		$164.42	$270.33	$350.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $164.42 / $295.95 / $340.53	Professional	25	$164.42	$295.95	$340.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $249.13 / $347.00	Professional		$142.90	$249.13	$347.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $148.00 / $154.00	Facility		$148.00	$148.00	$154.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $283.27 / $424.81	Professional		$153.03	$283.27	$424.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $215.36 / $305.38	Facility		$126.68	$215.36	$305.38
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $293.76 / $339.00 / $345.60	Facility	25	$293.76	$339.00	$345.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.54 / $323.24 / $901.73	Professional		$171.54	$323.24	$901.73
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $262.39 / $347.22 / $421.34	Professional	25	$262.39	$347.22	$421.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $274.86 / $397.77	Facility		$208.16	$274.86	$397.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $273.99 / $386.15	Professional		$187.00	$273.99	$386.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $243.37 / $369.14	Professional		$140.69	$243.37	$369.14
United Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $249.01 / $370.00	Professional		$166.01	$249.01	$370.00