Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.65 / $155.65 / $155.65	Facility		$155.65	$155.65	$155.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $155.65 / $381.47	Professional		$130.08	$155.65	$381.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $157.24 / $157.24 / $157.24	Professional	25	$157.24	$157.24	$157.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $301.86 / $367.76	Professional		$156.18	$301.86	$367.76
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $157.90 / $157.90 / $157.90	Professional	25	$157.90	$157.90	$157.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $155.41 / $155.41	Professional		$147.65	$155.41	$155.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $264.30 / $416.30	Professional		$195.17	$264.30	$416.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.65 / $264.61 / $373.07	Facility		$155.65	$264.61	$373.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $316.19 / $1,045.69	Professional		$197.82	$316.19	$1,045.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $270.91 / $416.30	Facility		$206.40	$270.91	$416.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $270.91 / $416.30	Professional		$206.40	$270.91	$416.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.32 / $278.73 / $335.62	Professional		$167.32	$278.73	$335.62
United Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $322.32 / $424.92	Professional		$194.58	$322.32	$424.92