Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $524.45 / $810.00	Facility		$34.29	$524.45	$810.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $365.76 / $493.05 / $935.00	Facility	25	$365.76	$493.05	$935.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $38.85 / $92.08	Professional		$27.44	$38.85	$92.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $63.90 / $71.42	Professional		$39.20	$63.90	$71.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $63.60 / $84.81	Professional		$37.32	$63.60	$84.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $81.00 / $104.84	Professional		$42.52	$81.00	$104.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $62.20 / $90.05	Facility		$36.59	$62.20	$90.05
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $237.26 / $420.28 / $550.48	Facility	25	$237.26	$420.28	$550.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $78.91 / $500.00	Professional		$49.62	$78.91	$500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $78.65 / $104.84	Facility		$60.65	$78.65	$104.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $77.77 / $104.84	Professional		$57.00	$77.77	$104.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $75.67 / $84.80	Professional		$42.78	$75.67	$84.80
United Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $78.91 / $101.43	Professional		$50.45	$78.91	$101.43