Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $389.05	Professional		$109.65	$134.90	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $251.19	Professional		$125.89	$131.83	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $331.13	Facility		$281.84	$281.84	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $275.42	Professional		$120.23	$204.17	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $346.74	Professional		$131.83	$223.87	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $245.47	Facility		$112.20	$177.83	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $1,348.96	Professional		$158.49	$239.88	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $316.23	Professional		$190.55	$263.03	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $316.23	Professional		$213.80	$263.03	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $331.13	Professional		$213.80	$275.42	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Facility		$0.14	$0.14	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $338.84	Professional		$141.25	$208.93	$338.84