Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $89.53 / $105.33	Facility		$79.00	$89.53	$105.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $115.00 / $245.96	Professional		$79.00	$115.00	$245.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.34 / $214.96 / $230.00	Professional		$177.34	$214.96	$230.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $181.16 / $243.97	Professional		$107.34	$181.16	$243.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $223.72 / $264.20	Professional		$190.82	$223.72	$264.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $184.33 / $228.20	Facility		$115.16	$184.33	$228.20
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $785.56 / $785.56 / $785.56	Facility	25	$785.56	$785.56	$785.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $229.07 / $294.02	Professional		$124.06	$229.07	$294.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $190.82 / $241.98	Facility		$139.00	$190.82	$241.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $190.82 / $264.20	Professional		$127.37	$190.82	$264.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $207.16 / $241.83	Professional		$118.81	$207.16	$241.83
United Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $199.21 / $285.99	Professional		$120.80	$199.21	$285.99