Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $121.59 / $319.36	Professional		$109.73	$121.59	$319.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.18 / $240.18 / $240.18	Professional		$240.18	$240.18	$240.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $206.00 / $277.43	Professional		$122.06	$206.00	$277.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $262.36 / $408.25	Professional		$140.08	$262.36	$408.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $201.13 / $309.98	Facility		$118.31	$201.13	$309.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.25 / $257.81 / $1,352.50	Professional		$160.25	$257.81	$1,352.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.20 / $251.86 / $350.18	Facility		$190.20	$251.86	$350.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $255.29 / $350.18	Professional		$190.20	$255.29	$350.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $225.27 / $273.89	Professional		$121.42	$225.27	$273.89
United Facility/Professional Professional Modifier Low / Median / High Price $158.65 / $245.54 / $337.30	Professional		$158.65	$245.54	$337.30