Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $69.69 / $97.84	Facility		$69.69	$69.69	$97.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $103.84 / $220.00	Professional		$65.81	$103.84	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $130.00 / $164.00	Professional		$95.28	$130.00	$164.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $131.75 / $197.37	Professional		$71.79	$131.75	$197.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $196.75 / $259.42	Professional		$98.27	$196.75	$259.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $121.96 / $223.42	Facility		$69.69	$121.96	$223.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $200.13 / $655.29	Professional		$121.00	$200.13	$655.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $194.83 / $259.42	Facility		$98.27	$194.83	$259.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $156.91 / $245.63	Professional		$98.27	$156.91	$245.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $170.43 / $215.20	Professional		$119.83	$170.43	$215.20
United Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $196.62 / $268.77	Professional		$121.00	$196.62	$268.77