Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $92.69 / $125.18	Facility		$92.69	$92.69	$125.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $133.29 / $300.00	Professional		$87.28	$133.29	$300.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $170.00 / $240.00	Professional		$134.52	$170.00	$240.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $174.25 / $252.03	Professional		$95.93	$174.25	$252.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $252.41 / $333.29	Professional		$132.22	$252.41	$333.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $162.21 / $287.68	Facility		$92.69	$162.21	$287.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $253.27 / $842.92	Professional		$155.86	$253.27	$842.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $249.41 / $333.29	Facility		$132.22	$249.41	$333.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $201.54 / $313.68	Professional		$134.00	$201.54	$313.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $170.74 / $275.10	Professional		$103.00	$170.74	$275.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $227.29 / $341.74	Professional		$155.86	$227.29	$341.74