Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $60.70 / $178.56	Facility		$53.56	$60.70	$178.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $80.01 / $182.46	Professional		$57.06	$80.01	$182.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $135.16 / $170.00	Professional		$74.90	$135.16	$170.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $267.56 / $521.73	Facility		$205.07	$267.56	$521.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $123.81 / $166.77	Professional		$73.37	$123.81	$166.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $152.91 / $185.15	Professional		$134.09	$152.91	$185.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $124.97 / $198.49	Facility		$79.37	$124.97	$198.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $140.97 / $199.35	Professional		$85.07	$140.97	$199.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $138.91 / $185.15	Facility		$101.00	$138.91	$185.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $138.91 / $185.15	Professional		$96.00	$138.91	$185.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $144.29 / $165.22	Professional		$82.75	$144.29	$165.22
United Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $122.32 / $196.76	Professional		$85.07	$122.32	$196.76