Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $63.19 / $63.48	Facility		$63.19	$63.19	$63.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $63.48 / $72.89	Professional		$60.60	$63.48	$72.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.30 / $113.16 / $138.00	Professional	25	$56.30	$113.16	$138.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.72 / $301.64 / $301.64	Facility		$269.72	$301.64	$301.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $109.78 / $147.72	Professional		$65.00	$109.78	$147.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $139.46 / $190.54	Professional		$101.99	$139.46	$190.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $102.05 / $158.13	Facility		$63.19	$102.05	$158.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $141.97 / $454.95	Professional		$87.55	$141.97	$454.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.86 / $136.66 / $189.66	Facility		$102.86	$136.66	$189.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $138.12 / $190.54	Professional		$103.35	$138.12	$190.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $131.91 / $151.16	Professional		$75.65	$131.91	$151.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $141.97 / $176.03	Professional		$86.11	$141.97	$176.03
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07