Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $134.90	Facility		$89.13	$89.13	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $114.82	Professional		$40.74	$54.95	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $93.33	Professional		$50.12	$60.26	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $162.18	Facility		$95.50	$114.82	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $114.82	Professional		$46.77	$79.43	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $147.91	Professional		$51.29	$87.10	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $69.18 / $112.20	Facility		$43.65	$69.18	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $398.11	Professional		$66.07	$120.23	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $134.90	Professional		$85.11	$97.72	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $141.25	Professional		$77.62	$107.15	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $123.03 / $162.18	Professional		$33.11	$123.03	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $131.83	Professional		$52.48	$81.28	$131.83