Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $107.64 / $107.64	Facility		$107.64	$107.64	$107.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $112.62 / $323.00	Professional		$102.80	$112.62	$323.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.55 / $209.55 / $225.92	Professional		$209.55	$209.55	$225.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $187.33 / $252.27	Professional		$111.00	$187.33	$252.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $238.58 / $371.61	Professional		$127.39	$238.58	$371.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $182.99 / $274.05	Facility		$107.64	$182.99	$274.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $234.08 / $1,082.00	Professional		$145.85	$234.08	$1,082.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $229.03 / $318.72	Facility		$172.73	$229.03	$318.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $232.72 / $318.72	Professional		$172.73	$232.72	$318.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $204.49 / $248.80	Professional		$110.12	$204.49	$248.80
United Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Facility		$0.13	$0.13	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $220.16 / $306.89	Professional		$144.05	$220.16	$306.89