Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.69 / $90.69 / $103.99	Facility		$90.69	$90.69	$103.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $103.99 / $236.01	Professional		$90.69	$103.99	$236.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $180.97 / $180.97	Professional		$180.97	$180.97	$180.97
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 $90.56 / $159.47 / $212.65	Professional		$90.56	$159.47	$212.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Facility		$154.00	$154.00	$154.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $211.72 / $279.14	Professional		$123.88	$211.72	$279.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.69 / $155.99 / $244.23	Facility		$90.69	$155.99	$244.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.12 / $213.24 / $702.61	Professional		$131.12	$213.24	$702.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.07 / $195.45 / $279.14	Facility		$129.07	$195.45	$279.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $190.91 / $269.98	Professional		$131.00	$190.91	$269.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $180.34 / $219.90	Professional		$141.30	$180.34	$219.90
United Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $213.08 / $283.89	Professional		$133.31	$213.08	$283.89