Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.79 / $125.79 / $125.79	Facility		$125.79	$125.79	$125.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $145.46 / $366.00	Professional		$116.68	$145.46	$366.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $217.91 / $265.47	Professional		$217.91	$217.91	$265.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,274.61 / $3,274.61 / $3,274.61	Facility		$3,274.61	$3,274.61	$3,274.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $219.65 / $295.80	Professional		$130.15	$219.65	$295.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $279.74 / $437.56	Professional		$149.47	$279.74	$437.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.79 / $213.84 / $331.63	Facility		$125.79	$213.84	$331.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $274.52 / $1,352.50	Professional		$171.05	$274.52	$1,352.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.30 / $268.54 / $373.80	Facility		$203.30	$268.54	$373.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $272.66 / $373.80	Professional		$203.30	$272.66	$373.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $261.49 / $355.10	Professional		$149.97	$261.49	$355.10
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $274.52 / $358.64	Professional		$168.94	$274.52	$358.64