Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $14.75 / $143.25	Facility		$14.75	$14.75	$143.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $18.34 / $193.38	Professional		$14.75	$18.34	$193.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $25.36 / $25.36	Professional		$25.36	$25.36	$25.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.83 / $489.64 / $489.64	Facility		$437.83	$489.64	$489.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $14.75 / $14.83	Professional		$14.09	$14.75	$14.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $23.80 / $37.50	Professional		$17.89	$23.80	$37.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $25.08 / $47.50	Facility		$14.75	$25.08	$47.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $30.06 / $164.18	Professional		$21.75	$30.06	$164.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $24.40 / $37.50	Facility		$19.70	$24.40	$37.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $24.72 / $37.50	Professional		$19.59	$24.72	$37.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $27.81 / $43.50	Professional		$15.58	$27.81	$43.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $30.06 / $37.02	Professional		$22.07	$30.06	$37.02