Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $45.51 / $59.13	Facility		$45.51	$45.51	$59.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $55.73 / $72.98	Professional		$45.51	$55.73	$72.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
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 $46.96 / $82.84 / $118.50	Professional		$46.96	$82.84	$118.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Facility		$86.00	$86.00	$86.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $118.68 / $156.82	Professional		$63.85	$118.68	$156.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $79.64 / $131.31	Facility		$45.51	$79.64	$131.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $120.63 / $402.01	Professional		$74.23	$120.63	$402.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $108.30 / $156.82	Facility		$63.85	$108.30	$156.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $96.48 / $147.47	Professional		$67.45	$96.48	$147.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $102.19 / $124.30	Professional		$77.93	$102.19	$124.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $111.35 / $161.41	Professional		$74.23	$111.35	$161.41