Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $87.10	Professional		$51.29	$70.79	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $117.49	Professional		$109.65	$114.82	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $154.88	Professional		$47.86	$97.72	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $213.80	Facility		$70.79	$120.23	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $134.90	Professional		$39.81	$58.88	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $194.98	Professional		$97.72	$102.33	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $223.87	Professional		$128.82	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $93.33	Professional		$39.81	$58.88	$93.33