Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $111.12	Facility		$78.94	$78.94	$111.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $118.24 / $272.00	Professional		$71.84	$118.24	$272.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $150.00 / $225.48	Professional		$130.00	$150.00	$225.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $149.44 / $224.63	Professional		$81.43	$149.44	$224.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Facility		$132.00	$132.00	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $223.71 / $294.95	Professional		$111.86	$223.71	$294.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $138.15 / $254.31	Facility		$78.94	$138.15	$254.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $223.88 / $743.11	Professional		$137.77	$223.88	$743.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.86 / $219.80 / $294.95	Facility		$111.86	$219.80	$294.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $179.14 / $279.58	Professional		$115.36	$179.14	$279.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $143.96 / $243.90	Professional		$100.29	$143.96	$243.90
United Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $186.87 / $305.25	Professional		$137.77	$186.87	$305.25