Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $59.50 / $70.00	Facility		$52.50	$59.50	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $75.09 / $166.14	Professional		$56.81	$75.09	$166.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $143.38 / $162.84	Professional		$86.03	$143.38	$162.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $120.39 / $162.15	Professional		$71.34	$120.39	$162.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $152.38 / $184.68	Professional		$132.80	$152.38	$184.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.12 / $122.50 / $158.68	Facility		$77.12	$122.50	$158.68
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $35.72 / $35.72 / $35.72	Facility	AS	$35.72	$35.72	$35.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $150.72 / $197.64	Professional		$85.01	$150.72	$197.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $132.80 / $170.21	Facility		$98.00	$132.80	$170.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $132.80 / $184.68	Professional		$88.87	$132.80	$184.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $136.58 / $161.30	Professional		$78.33	$136.58	$161.30
United Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $139.56 / $192.88	Professional		$84.72	$139.56	$192.88