Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $234.42	Facility		$173.78	$173.78	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $218.78	Professional		$79.43	$102.33	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $169.82	Professional		$75.86	$107.15	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $288.40	Facility		$95.50	$114.82	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $208.93	Professional		$89.13	$151.36	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $263.03	Professional		$97.72	$154.88	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $204.17	Facility		$85.11	$128.82	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $707.95	Professional		$128.82	$213.80	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $257.04	Professional		$147.91	$194.98	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $257.04	Professional		$154.88	$194.98	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $281.84	Professional		$125.89	$218.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $245.47	Professional		$100.00	$151.36	$245.47