Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $63.55 / $92.02	Facility		$63.55	$63.55	$92.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $99.72 / $220.00	Professional		$59.80	$99.72	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $119.43 / $150.00	Professional		$107.40	$119.43	$150.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $120.31 / $185.94	Professional		$65.56	$120.31	$185.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $184.90 / $243.76	Professional		$89.67	$184.90	$243.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $111.21 / $209.78	Facility		$63.55	$111.21	$209.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $187.91 / $618.82	Professional		$113.80	$187.91	$618.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $185.01 / $240.82	Facility		$89.67	$185.01	$240.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $147.36 / $231.42	Professional		$89.67	$147.36	$231.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $160.03 / $202.30	Professional		$109.42	$160.03	$202.30
United Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $184.92 / $251.21	Professional		$113.80	$184.92	$251.21