Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $85.11	Facility		$54.95	$54.95	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $81.28	Professional		$25.12	$34.67	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $41.69	Professional		$34.67	$38.02	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $158.49	Facility		$112.20	$117.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $74.13	Professional		$29.51	$51.29	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $93.33	Professional		$31.62	$54.95	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $66.07	Facility		$26.92	$42.66	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $251.19	Professional		$43.65	$75.86	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $77.62	Professional		$57.54	$61.66	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $93.33	Professional		$57.54	$75.86	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $102.33	Professional		$60.26	$60.26	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $85.11	Professional		$33.11	$52.48	$85.11