Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $166.90 / $242.32	Facility		$121.85	$166.90	$242.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $121.85 / $242.33	Professional		$91.87	$121.85	$242.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.01 / $120.01 / $127.48	Professional	25	$120.01	$120.01	$127.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $275.00 / $275.00	Professional		$118.89	$275.00	$275.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $122.89 / $122.89 / $124.36	Professional	25	$122.89	$122.89	$124.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $121.84 / $122.00	Professional		$115.90	$121.84	$122.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $189.71 / $307.23	Professional		$145.13	$189.71	$307.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $205.93 / $263.25	Facility		$121.85	$205.93	$263.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $213.51 / $818.99	Professional		$133.58	$213.51	$818.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.01 / $189.71 / $304.12	Facility		$162.01	$189.71	$304.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $189.71 / $303.88	Professional		$153.80	$189.71	$303.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $218.77 / $264.36	Professional		$132.13	$218.77	$264.36
United Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $213.51 / $316.08	Professional		$133.58	$213.51	$316.08