Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.78 / $123.78 / $155.96	Facility		$123.78	$123.78	$155.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $154.47 / $340.47	Professional		$114.94	$154.47	$340.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $340.00 / $340.00 / $340.00	Professional	25	$340.00	$340.00	$340.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.22 / $158.22 / $158.22	Professional	25	$158.22	$158.22	$158.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $123.98 / $155.72	Professional		$116.62	$123.98	$155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $256.69 / $390.12	Professional		$181.45	$256.69	$390.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.78 / $214.76 / $340.24	Facility		$123.78	$214.76	$340.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $308.52 / $1,045.69	Professional		$180.62	$308.52	$1,045.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $241.14 / $390.12	Facility		$188.75	$241.14	$390.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $241.14 / $390.12	Professional		$188.75	$241.14	$390.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $214.30 / $310.36	Professional		$127.57	$214.30	$310.36
United Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $308.52 / $425.77	Professional		$180.62	$308.52	$425.77