Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.98 / $115.01 / $153.35	Facility		$95.98	$115.01	$153.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $143.90 / $203.84	Professional		$95.98	$143.90	$203.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $147.25 / $151.76	Professional		$147.25	$147.25	$151.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $224.88 / $305.52	Professional		$131.93	$224.88	$305.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $236.00 / $236.00	Facility		$236.00	$236.00	$236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $183.82 / $252.00	Professional		$136.90	$183.82	$252.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $223.97 / $390.16	Facility		$127.98	$223.97	$390.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $344.12 / $1,111.43	Professional		$210.95	$344.12	$1,111.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.12 / $320.88 / $529.13	Facility		$268.12	$320.88	$529.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $268.12 / $320.88	Professional		$219.00	$268.12	$320.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $163.34 / $385.78	Professional		$103.00	$163.34	$385.78
United Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $342.79 / $431.21	Professional		$210.95	$342.79	$431.21