Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $24.29 / $94.94	Facility		$11.10	$24.29	$94.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $13.96 / $31.45	Professional		$10.74	$13.96	$31.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $5.00 / $28.87 / $31.69	Professional	25	$5.00	$28.87	$31.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $23.40 / $31.68	Professional		$13.00	$23.40	$31.68
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $5.00 / $26.91 / $26.91	Professional	25	$5.00	$26.91	$26.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $171.48 / $171.48	Facility		$153.33	$171.48	$171.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $20.34 / $28.16	Professional		$11.65	$20.34	$28.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.44 / $36.17	Professional		$15.85	$27.44	$36.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $19.43 / $30.02	Facility		$11.10	$19.43	$30.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $26.69 / $199.96	Professional		$17.32	$26.69	$199.96
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $5.00 / $22.74 / $30.32	Professional	25	$5.00	$22.74	$30.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $27.73 / $36.17	Facility		$15.85	$27.73	$36.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.65 / $34.46	Professional		$15.85	$23.65	$34.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $21.69 / $29.44	Professional		$11.88	$21.69	$29.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $26.69 / $37.89	Professional		$17.32	$26.69	$37.89