Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $32.36	Facility		$22.91	$22.91	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $33.11	Professional		$10.00	$13.49	$33.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.39 / $33.11	Professional		$11.48	$22.39	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $28.18	Professional		$12.02	$20.42	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $38.02	Professional		$15.14	$24.55	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $25.70	Facility		$11.22	$16.60	$25.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $93.33	Professional		$16.22	$28.18	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $30.90	Professional		$20.42	$25.70	$30.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $33.11	Professional		$24.55	$28.18	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $38.02	Professional		$21.38	$21.38	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $32.36	Professional		$13.18	$20.42	$32.36