Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $36.11	Facility		$22.51	$22.51	$36.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $34.27 / $56.38	Professional		$22.51	$34.27	$56.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $41.06	Professional		$41.06	$41.06	$41.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $113.63 / $113.63	Facility		$101.61	$113.63	$113.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $43.95 / $72.45	Professional		$23.12	$43.95	$72.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $67.18 / $94.71	Professional		$33.54	$67.18	$94.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $41.64 / $76.52	Facility		$22.51	$41.64	$76.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $72.50 / $243.64	Professional		$44.62	$72.50	$243.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $64.73 / $94.71	Facility		$31.70	$64.73	$94.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $53.02 / $90.19	Professional		$33.03	$53.02	$90.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $62.24 / $74.20	Professional		$38.52	$62.24	$74.20
United Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $68.66 / $98.58	Professional		$44.62	$68.66	$98.58