Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.70 / $37.15	Facility		$19.05	$25.70	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $52.48	Professional		$21.88	$36.31	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $57.54	Professional		$41.69	$50.12	$57.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $51.29 / $51.29 / $53.70	Professional	25	$51.29	$51.29	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $288.40	Facility		$204.17	$213.80	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $104.71	Professional		$43.65	$74.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $128.82	Professional		$46.77	$87.10	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.66 / $66.07	Facility		$26.30	$42.66	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $323.59	Professional		$56.23	$95.50	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $117.49	Professional		$61.66	$83.18	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $123.03	Professional		$56.23	$95.50	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $53.70	Professional		$48.98	$50.12	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $104.71	Professional		$38.90	$64.57	$104.71