Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $32.65 / $44.10	Facility		$32.65	$32.65	$44.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $40.67 / $63.95	Professional		$30.46	$40.67	$63.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $115.47 / $115.47	Professional		$115.47	$115.47	$115.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $129.44 / $262.56	Facility		$97.08	$129.44	$262.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $60.82 / $89.46	Professional		$34.47	$60.82	$89.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $90.53 / $118.64	Professional		$67.18	$90.53	$118.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $47.34 / $81.59	Facility		$32.54	$47.34	$81.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $91.88 / $218.48	Professional		$56.54	$91.88	$218.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $77.67 / $93.25	Facility		$48.01	$77.67	$93.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $70.64 / $93.25	Professional		$48.01	$70.64	$93.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $66.40 / $106.63	Professional		$38.08	$66.40	$106.63
United Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $91.88 / $115.72	Professional		$57.49	$91.88	$115.72