Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $114.66 / $170.55	Facility		$86.00	$114.66	$170.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $153.22 / $300.00	Professional		$86.00	$153.22	$300.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $226.00 / $261.06	Professional		$130.06	$226.00	$261.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $198.44 / $267.25	Professional		$117.59	$198.44	$267.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.76 / $267.58 / $335.61	Professional		$228.76	$267.58	$335.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $171.99 / $316.76	Facility		$31.42	$171.99	$316.76
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $180.96 / $180.96 / $180.96	Facility	25	$180.96	$180.96	$180.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $261.99 / $376.13	Professional		$160.03	$261.99	$376.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $242.60 / $304.51	Facility		$183.00	$242.60	$304.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $245.04 / $337.26	Professional		$174.00	$245.04	$337.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $225.22 / $264.85	Professional		$129.16	$225.22	$264.85
United Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $261.99 / $321.76	Professional		$160.03	$261.99	$321.76