Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $80.38 / $107.17	Facility		$62.97	$80.38	$107.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $96.90 / $140.00	Professional		$62.97	$96.90	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $103.11 / $103.11	Professional		$103.11	$103.11	$103.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $151.50 / $213.66	Professional		$86.62	$151.50	$213.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.00 / $166.00 / $166.00	Facility		$166.00	$166.00	$166.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $119.06 / $177.00	Professional		$89.86	$119.06	$177.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $146.94 / $260.29	Facility		$83.97	$146.94	$260.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $235.14 / $746.21	Professional		$140.69	$235.14	$746.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.10 / $224.35 / $375.14	Facility		$176.10	$224.35	$375.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $176.10 / $224.35	Professional		$154.00	$176.10	$224.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $114.20 / $257.44	Professional		$92.22	$114.20	$257.44
United Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $211.03 / $287.58	Professional		$140.69	$211.03	$287.58