Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $68.02 / $81.33	Facility		$68.02	$68.02	$81.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $81.33 / $170.26	Professional		$68.02	$81.33	$170.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $140.88 / $140.88	Professional		$140.88	$140.88	$140.88
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 $70.09 / $119.45 / $163.18	Professional		$70.09	$119.45	$163.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Facility		$119.00	$119.00	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $163.41 / $217.95	Professional		$95.55	$163.41	$217.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $119.04 / $186.31	Facility		$68.02	$119.04	$186.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $166.30 / $546.96	Professional		$102.34	$166.30	$546.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $153.12 / $217.95	Facility		$95.55	$153.12	$217.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $143.96 / $203.62	Professional		$99.09	$143.96	$203.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $140.18 / $172.50	Professional		$109.90	$140.18	$172.50
United Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $165.25 / $222.03	Professional		$102.34	$165.25	$222.03