Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.82 / $236.36 / $409.46	Facility		$118.82	$236.36	$409.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $180.25 / $416.09	Professional		$98.11	$180.25	$416.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $180.57 / $355.71 / $578.00	Professional	25	$180.57	$355.71	$578.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.42 / $309.91 / $399.77	Professional		$224.42	$309.91	$399.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.44 / $277.92 / $563.73	Facility		$208.44	$277.92	$563.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $254.16 / $391.00	Professional		$139.47	$254.16	$391.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.95 / $302.12 / $464.95	Professional		$205.95	$302.12	$464.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $188.59 / $346.33	Facility		$124.12	$188.59	$346.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $315.67 / $887.76	Professional		$210.44	$315.67	$887.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $301.80 / $392.24	Facility		$201.36	$301.80	$392.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $301.80 / $398.31	Professional		$201.36	$301.80	$398.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $259.47 / $424.33	Professional		$148.81	$259.47	$424.33
United Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $308.23 / $471.92	Professional		$210.44	$308.23	$471.92