Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $36.00	Facility		$25.17	$25.17	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $31.21 / $45.06	Professional		$23.91	$31.21	$45.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.59 / $15.84 / $22.09	Professional	52	$12.59	$15.84	$22.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $34.95 / $34.95	Professional		$34.95	$34.95	$34.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $35.18 / $35.18 / $36.54	Professional	25	$35.18	$35.18	$36.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $42.28 / $58.75	Professional		$37.77	$42.28	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $59.05 / $89.77	Professional		$37.15	$59.05	$89.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $45.89 / $79.79	Facility		$25.17	$45.89	$79.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $76.69 / $245.75	Professional		$54.64	$76.69	$245.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $56.78 / $89.77	Facility		$39.29	$56.78	$89.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $56.78 / $89.77	Professional		$39.29	$56.78	$89.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $51.00 / $101.00	Professional		$28.13	$51.00	$101.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $66.09 / $90.07	Professional		$49.53	$66.09	$90.07