Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $269.15	Facility		$169.82	$169.82	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $316.23	Professional		$85.11	$169.82	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $199.53	Professional		$97.72	$128.82	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $229.09	Professional		$91.20	$154.88	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $295.12	Professional		$95.50	$169.82	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $213.80	Facility		$81.28	$131.83	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $338.84	Professional		$154.88	$239.88	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $263.03	Professional		$169.82	$190.55	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $281.84	Professional		$154.88	$208.93	$281.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $125.89	Facility		$107.15	$107.15	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $316.23	Professional		$144.54	$251.19	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $257.04	Professional		$97.72	$151.36	$257.04