Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $153.56 / $248.00	Facility		$87.99	$153.56	$248.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,930.56 / $1,930.56 / $1,930.56	Facility	25	$1,930.56	$1,930.56	$1,930.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $205.52 / $446.29	Professional		$123.43	$205.52	$446.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.64 / $314.39 / $383.03	Professional		$188.64	$314.39	$383.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $264.62 / $356.38	Professional		$156.81	$264.62	$356.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $380.25 / $497.27	Professional		$304.20	$380.25	$497.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.95 / $268.73 / $443.25	Facility		$168.95	$268.73	$443.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.33 / $356.94 / $490.00	Professional		$232.33	$356.94	$490.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.85 / $326.77 / $406.09	Facility		$250.85	$326.77	$406.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $330.59 / $497.20	Professional		$250.85	$330.59	$497.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $302.29 / $353.70	Professional		$173.37	$302.29	$353.70
United Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $387.18 / $474.93	Professional		$236.20	$387.18	$474.93