Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $24.17 / $26.65	Facility		$24.17	$24.17	$26.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $30.24 / $63.31	Professional		$23.94	$30.24	$63.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $52.62 / $66.08	Professional		$47.74	$52.62	$66.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $24.17 / $26.16	Professional		$22.53	$24.17	$26.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $44.70 / $65.87	Professional		$32.60	$44.70	$65.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $41.31 / $109.23	Facility		$24.17	$41.31	$109.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $54.57 / $178.40	Professional		$33.92	$54.57	$178.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $42.56 / $70.44	Facility		$34.74	$42.56	$70.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $45.82 / $70.44	Professional		$36.39	$45.82	$70.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $71.59	Professional		$35.40	$35.40	$71.59
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $54.57 / $72.75	Professional		$33.92	$54.57	$72.75