Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $63.10	Facility		$46.77	$46.77	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $63.10	Professional		$20.89	$26.92	$63.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	25	$138.04	$138.04	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $70.79	Professional		$22.91	$34.67	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $56.23	Professional		$23.99	$40.74	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $75.86	Professional		$30.20	$48.98	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $50.12	Facility		$22.39	$33.11	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $181.97	Professional		$32.36	$56.23	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $60.26	Professional		$39.81	$51.29	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $66.07	Professional		$47.86	$56.23	$66.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $74.13	Professional		$42.66	$42.66	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $64.57	Professional		$26.30	$41.69	$64.57