Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $92.57 / $92.57	Facility		$92.57	$92.57	$92.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.57 / $97.00	Professional		$92.03	$92.57	$97.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $120.36 / $120.36	Professional		$83.57	$120.36	$120.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $89.28 / $90.17	Professional		$84.81	$89.28	$90.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $127.72 / $228.56	Professional		$84.93	$127.72	$228.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $150.00 / $185.14	Facility		$92.57	$150.00	$185.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $167.90 / $599.65	Professional		$103.32	$167.90	$599.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.05 / $141.68 / $227.03	Facility		$87.05	$141.68	$227.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $140.26 / $227.03	Professional		$87.05	$140.26	$227.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $163.79 / $176.89	Professional		$126.30	$163.79	$176.89
United Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $172.29 / $237.74	Professional		$103.32	$172.29	$237.74