Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $103.56 / $103.56	Facility		$103.56	$103.56	$103.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $103.56 / $129.16	Professional		$97.18	$103.56	$129.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $93.05 / $93.05	Professional		$93.05	$93.05	$93.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.93 / $528.90 / $528.90	Facility		$472.93	$528.90	$528.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $167.50 / $225.63	Professional		$99.28	$167.50	$225.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $172.35 / $271.47	Professional		$126.01	$172.35	$271.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $176.05 / $237.46	Facility		$103.56	$176.05	$237.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $216.44 / $698.47	Professional		$173.15	$216.44	$698.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $176.66 / $271.47	Facility		$135.59	$176.66	$271.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $176.66 / $271.47	Professional		$135.59	$176.66	$271.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $188.26 / $214.75	Professional		$107.68	$188.26	$214.75
United Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $221.38 / $265.45	Professional		$173.15	$221.38	$265.45