Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $92.69 / $125.49	Facility		$92.69	$92.69	$125.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $192.00 / $295.00	Professional		$89.70	$192.00	$295.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $170.00 / $200.00	Professional		$89.67	$170.00	$200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $174.69 / $252.66	Professional		$95.93	$174.69	$252.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $252.80 / $333.29	Professional		$132.22	$252.80	$333.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $162.21 / $287.68	Facility		$92.69	$162.21	$287.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $257.60 / $845.09	Professional		$155.86	$257.60	$845.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $250.82 / $333.29	Facility		$132.22	$250.82	$333.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $202.06 / $314.44	Professional		$132.22	$202.06	$314.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $219.07 / $275.10	Professional		$160.56	$219.07	$275.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $227.29 / $342.59	Professional		$155.86	$227.29	$342.59