Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.53 / $841.92 / $3,260.29	Facility		$99.53	$841.92	$3,260.29
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $767.60 / $906.77 / $3,472.00	Facility	25	$767.60	$906.77	$3,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $106.17 / $257.38	Professional		$90.24	$106.17	$257.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $102.63 / $234.06 / $421.11	Professional	25	$102.63	$234.06	$421.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $189.68 / $264.10	Professional		$151.74	$189.68	$264.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $127.90 / $189.68 / $264.10	Professional	25	$127.90	$189.68	$264.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $184.38 / $245.84	Professional		$108.17	$184.38	$245.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $234.80 / $297.87	Professional		$121.30	$234.80	$297.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.17 / $185.80 / $1,220.05	Facility		$106.17	$185.80	$1,220.05
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $915.00 / $1,439.00 / $1,920.05	Facility	25	$915.00	$1,439.00	$1,920.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $228.62 / $309.88	Professional		$142.71	$228.62	$309.88
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $151.75 / $229.78 / $309.88	Professional	25	$151.75	$229.78	$309.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.68 / $225.41 / $297.87	Facility		$174.68	$225.41	$297.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $223.46 / $297.87	Professional		$165.60	$223.46	$297.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $218.29 / $247.07	Professional		$123.51	$218.29	$247.07
United Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $220.86 / $291.41	Professional		$138.18	$220.86	$291.41