Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $81.34 / $109.50	Facility		$81.34	$81.34	$109.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $197.26 / $270.55	Professional		$81.34	$197.26	$270.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $145.00 / $184.64	Professional		$106.73	$145.00	$184.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $152.65 / $220.80	Professional		$83.93	$152.65	$220.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Facility		$119.00	$119.00	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $220.86 / $291.18	Professional		$115.93	$220.86	$291.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $142.35 / $251.04	Facility		$81.34	$142.35	$251.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $224.69 / $541.15	Professional		$136.38	$224.69	$541.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $217.46 / $291.18	Facility		$115.93	$217.46	$291.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $176.33 / $274.79	Professional		$115.93	$176.33	$274.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $191.19 / $239.00	Professional		$140.59	$191.19	$239.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $204.59 / $298.94	Professional		$136.38	$204.59	$298.94