Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.50 / $25.97	Facility		$23.50	$23.50	$25.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $25.53 / $56.60	Professional		$22.33	$25.53	$56.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $46.60 / $65.15	Professional		$24.87	$46.60	$65.15
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $23.59 / $23.59 / $23.59	Professional	25	$23.59	$23.59	$23.59
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 $23.77 / $40.27 / $54.43	Professional		$23.77	$40.27	$54.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $52.43 / $71.63	Professional		$33.52	$52.43	$71.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $39.95 / $58.73	Facility		$23.50	$39.95	$58.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $52.48 / $342.78	Professional		$33.24	$52.48	$342.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $51.04 / $71.63	Facility		$33.52	$51.04	$71.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $49.17 / $67.39	Professional		$33.52	$49.17	$67.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $45.55 / $55.96	Professional		$24.45	$45.55	$55.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $52.48 / $70.90	Professional		$32.88	$52.48	$70.90