Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $140.26 / $140.26	Facility		$108.08	$140.26	$140.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $241.85 / $340.00	Professional		$108.08	$241.85	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $191.39 / $252.45	Professional		$136.46	$191.39	$252.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $197.43 / $282.70	Professional		$111.50	$197.43	$282.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $169.00 / $169.00	Facility		$169.00	$169.00	$169.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $283.13 / $374.40	Professional		$153.51	$283.13	$374.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $189.14 / $323.48	Facility		$108.08	$189.14	$323.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $289.07 / $944.96	Professional		$175.10	$289.07	$944.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.51 / $282.29 / $374.40	Facility		$153.51	$282.29	$374.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $229.52 / $351.85	Professional		$153.51	$229.52	$351.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Facility		$275.20	$275.20	$275.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $194.40 / $307.60	Professional		$103.00	$194.40	$307.60
United Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $264.74 / $382.91	Professional		$175.10	$264.74	$382.91