Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $74.31 / $106.80	Facility		$74.31	$74.31	$106.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $105.58 / $245.00	Professional		$70.04	$105.58	$245.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $140.00 / $242.00	Professional		$119.00	$140.00	$242.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $140.69 / $216.05	Professional		$76.67	$140.69	$216.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $214.80 / $283.20	Professional		$106.68	$214.80	$283.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $130.04 / $243.80	Facility		$74.31	$130.04	$243.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $218.21 / $715.23	Professional		$132.13	$218.21	$715.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.52 / $214.85 / $283.20	Facility		$105.52	$214.85	$283.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $171.77 / $268.88	Professional		$108.86	$171.77	$268.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $186.75 / $234.50	Professional		$128.22	$186.75	$234.50
United Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $214.73 / $291.56	Professional		$132.13	$214.73	$291.56