Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $89.05 / $121.54	Facility		$89.05	$89.05	$121.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $159.66 / $297.50	Professional		$89.05	$159.66	$297.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $181.00 / $240.00	Professional		$120.63	$181.00	$240.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $168.61 / $244.80	Professional		$91.87	$168.61	$244.80
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 $126.80 / $244.43 / $322.26	Professional		$126.80	$244.43	$322.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $155.84 / $278.07	Facility		$89.05	$155.84	$278.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $249.87 / $817.69	Professional		$151.08	$249.87	$817.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.80 / $242.57 / $322.26	Facility		$126.80	$242.57	$322.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $195.31 / $304.67	Professional		$129.00	$195.31	$304.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $164.01 / $266.89	Professional		$103.00	$164.01	$266.89
United Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $245.51 / $333.87	Professional		$151.08	$245.51	$333.87