Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $88.28 / $116.44	Facility		$88.28	$88.28	$116.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $171.35 / $291.00	Professional		$78.84	$171.35	$291.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $158.84 / $209.50	Professional		$113.46	$158.84	$209.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $163.97 / $234.81	Professional		$91.18	$163.97	$234.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $131.00 / $131.00	Facility		$131.00	$131.00	$131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $235.15 / $310.32	Professional		$125.89	$235.15	$310.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $154.49 / $267.72	Facility		$88.28	$154.49	$267.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $239.69 / $592.04	Professional		$147.52	$239.69	$592.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $234.65 / $310.32	Facility		$125.89	$234.65	$310.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $188.04 / $292.22	Professional		$125.89	$188.04	$292.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $89.60 / $89.60	Facility		$89.60	$89.60	$89.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $203.28 / $254.50	Professional		$152.66	$203.28	$254.50
United Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $217.66 / $317.88	Professional		$145.10	$217.66	$317.88