Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $21.49 / $23.97	Facility		$21.49	$21.49	$23.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $21.49 / $29.97	Professional		$18.75	$21.49	$29.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $29.89 / $29.89	Professional		$29.89	$29.89	$29.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.63 / $299.57 / $357.16	Facility		$254.63	$299.57	$357.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $21.48 / $23.82	Professional		$20.03	$21.48	$23.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $41.91 / $63.17	Professional		$32.63	$41.91	$63.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $29.89 / $50.79	Facility		$21.49	$29.89	$50.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $56.41 / $167.08	Professional		$40.11	$56.41	$167.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $43.67 / $63.17	Facility		$31.64	$43.67	$63.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $43.67 / $67.38	Professional		$34.47	$43.67	$67.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $37.74 / $65.81	Professional		$29.45	$37.74	$65.81
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $48.89 / $62.90	Professional		$40.11	$48.89	$62.90