Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Facility		$177.83	$177.83	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $331.13	Professional		$87.10	$154.88	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $208.93	Professional		$107.15	$134.90	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $245.47	Professional		$95.50	$165.96	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $316.23	Professional		$102.33	$181.97	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $234.42	Facility		$87.10	$141.25	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $851.14	Professional		$141.25	$257.04	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $275.42	Professional		$181.97	$204.17	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $302.00	Professional		$165.96	$218.78	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $346.74	Professional		$120.23	$275.42	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $275.42	Professional		$104.71	$162.18	$275.42