Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $416.87	Professional		$100.00	$147.91	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $263.03	Professional		$112.20	$208.93	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $302.00	Facility		$257.04	$257.04	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $251.19	Professional		$109.65	$186.21	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $316.23	Professional		$117.49	$204.17	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $218.78	Facility		$102.33	$162.18	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $1,071.52	Professional		$144.54	$218.78	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $281.84	Professional		$173.78	$239.88	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $281.84	Professional		$194.98	$239.88	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $302.00	Professional		$208.93	$245.47	$302.00
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 $125.89 / $186.21 / $309.03	Professional		$125.89	$186.21	$309.03