Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $151.36	Professional		$60.26	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $41.69	Professional		$39.81	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $67.61 / $85.11	Professional		$18.62	$67.61	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $39.81	Facility		$19.95	$30.20	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $70.79	Professional		$61.66	$70.79	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Facility		$1,148.15	$1,148.15	$1,348.96