Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $141.25	Professional		$21.88	$34.67	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Professional		$33.11	$33.11	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $58.88	Professional		$56.23	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $72.44 / $91.20	Professional		$30.90	$72.44	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $60.26 / $97.72	Facility		$35.48	$60.26	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $69.18	Professional		$19.95	$30.20	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $97.72	Professional		$50.12	$52.48	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $112.20	Professional		$64.57	$112.20	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $30.90	Professional		$21.38	$21.38	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $47.86	Professional		$19.95	$30.20	$47.86