Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $69.69 / $98.15	Facility		$69.69	$69.69	$98.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $101.60 / $225.00	Professional		$65.81	$101.60	$225.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.86 / $133.38 / $164.00	Professional		$123.86	$133.38	$164.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $131.75 / $197.99	Professional		$71.79	$131.75	$197.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Facility		$107.00	$107.00	$107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $197.40 / $260.27	Professional		$98.27	$197.40	$260.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $121.96 / $224.13	Facility		$69.69	$121.96	$224.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $200.80 / $657.47	Professional		$121.39	$200.80	$657.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $194.30 / $260.27	Facility		$98.27	$194.30	$260.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $157.44 / $246.40	Professional		$99.00	$157.44	$246.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $170.43 / $215.90	Professional		$119.83	$170.43	$215.90
United Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $197.26 / $267.95	Professional		$121.39	$197.26	$267.95