Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $36.95 / $43.47	Facility		$32.35	$36.95	$43.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $45.05 / $90.34	Professional		$31.65	$45.05	$90.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $90.34 / $136.00	Professional	25	$37.33	$90.34	$136.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $76.81 / $108.19	Professional		$44.40	$76.81	$108.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $75.15 / $101.22	Professional		$44.53	$75.15	$101.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $92.80 / $108.68	Professional		$72.20	$92.80	$108.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $76.06 / $95.56	Facility		$47.69	$76.06	$95.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $22.10 / $22.10 / $22.10	Facility	AS	$22.10	$22.10	$22.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $73.20 / $350.74	Professional		$45.05	$73.20	$350.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $72.20 / $99.73	Facility		$55.00	$72.20	$99.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $72.20 / $99.73	Professional		$48.00	$72.20	$99.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $85.29 / $99.90	Professional		$48.92	$85.29	$99.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $74.98 / $113.82	Professional		$45.80	$74.98	$113.82