Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $346.74	Facility		$223.87	$223.87	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $363.08	Professional		$107.15	$154.88	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $269.15	Professional		$131.83	$165.96	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $295.12	Professional		$120.23	$204.17	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $380.19	Professional		$125.89	$218.78	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $281.84	Facility		$109.65	$173.78	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $1,023.29	Professional		$165.96	$316.23	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $346.74	Professional		$218.78	$251.19	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $363.08	Professional		$204.17	$275.42	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $331.13 / $416.87	Professional		$125.89	$331.13	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $338.84	Professional		$128.82	$194.98	$338.84