Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $223.87	Facility		$134.90	$134.90	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $245.47	Professional		$67.61	$120.23	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $177.83	Professional		$89.13	$112.20	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $190.55	Professional		$72.44	$125.89	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $245.47	Professional		$75.86	$138.04	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $107.15 / $181.97	Facility		$63.10	$107.15	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $660.69	Professional		$120.23	$194.98	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $213.80	Professional		$141.25	$158.49	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $234.42	Professional		$128.82	$165.96	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $269.15	Professional		$95.50	$213.80	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $213.80	Professional		$77.62	$125.89	$213.80