Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $104.97 / $1,150.42	Facility		$93.91	$104.97	$1,150.42
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $789.88 / $789.88 / $789.88	Facility	25	$789.88	$789.88	$789.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $105.18 / $393.00	Professional		$90.95	$105.18	$393.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $204.40 / $266.64 / $513.87	Professional	25	$204.40	$266.64	$513.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $199.24 / $234.40	Professional		$115.44	$199.24	$234.40
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $96.20 / $177.97 / $184.70	Professional	25	$96.20	$177.97	$184.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $174.28 / $236.19	Professional		$103.93	$174.28	$236.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $229.51 / $415.18	Professional		$121.47	$229.51	$415.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $157.46 / $245.17	Facility		$93.91	$157.46	$245.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $231.86 / $1,183.50	Professional		$142.85	$231.86	$1,183.50
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $155.16 / $184.26 / $279.77	Professional	25	$155.16	$184.26	$279.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.29 / $211.64 / $309.07	Facility		$154.29	$211.64	$309.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $211.64 / $289.61	Professional		$166.00	$211.64	$289.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $193.26 / $253.06	Professional		$110.09	$193.26	$253.06
United Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $210.82 / $289.23	Professional		$140.51	$210.82	$289.23
United Facility/Professional Professional Modifier 25 Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	25	$85.00	$85.00	$85.00