Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $115.97 / $152.16	Facility		$115.97	$115.97	$152.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $152.16 / $360.01	Professional		$108.18	$152.16	$360.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $253.50 / $253.50	Professional		$190.00	$253.50	$253.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $214.19 / $306.72	Professional		$119.77	$214.19	$306.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $184.00 / $184.00	Facility		$184.00	$184.00	$184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $307.17 / $405.48	Professional		$164.84	$307.17	$405.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $202.95 / $350.52	Facility		$115.97	$202.95	$350.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.91 / $313.58 / $1,021.95	Professional		$189.91	$313.58	$1,021.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $306.77 / $405.48	Facility		$164.84	$306.77	$405.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $246.61 / $381.72	Professional		$164.84	$246.61	$381.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.22 / $265.58 / $334.10	Professional		$200.22	$265.58	$334.10
United Facility/Professional Professional Modifier Low / Median / High Price $189.91 / $284.87 / $415.42	Professional		$189.91	$284.87	$415.42