Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.82 / $169.11 / $291.86	Facility		$118.82	$169.11	$291.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $250.00 / $488.27	Professional		$168.85	$250.00	$488.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $231.39 / $438.04 / $772.00	Professional	25	$231.39	$438.04	$772.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $434.28 / $549.95	Professional		$232.02	$434.28	$549.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $304.00 / $304.00 / $622.45	Professional	25	$304.00	$304.00	$622.45
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 $189.58 / $343.98 / $529.20	Professional		$189.58	$343.98	$529.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.11 / $426.11 / $636.54	Professional		$298.11	$426.11	$636.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.20 / $247.13 / $488.25	Facility		$168.20	$247.13	$488.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $435.65 / $1,202.95	Professional		$277.45	$435.65	$1,202.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $273.64 / $409.02 / $530.88	Facility		$273.64	$409.02	$530.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $409.02 / $556.07	Professional		$273.64	$409.02	$556.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $352.33 / $574.78	Professional		$202.07	$352.33	$574.78
United Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $435.65 / $672.70	Professional		$282.08	$435.65	$672.70