Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $108.34 / $289.00	Facility		$108.34	$108.34	$289.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $15.44 / $57.60	Professional		$3.25	$15.44	$57.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.73 / $35.89	Professional		$12.52	$14.73	$35.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $476.84 / $967.23	Facility		$357.63	$476.84	$967.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $15.31 / $15.46	Professional		$14.69	$15.31	$15.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $22.03 / $39.08	Professional		$17.63	$22.03	$39.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $14.73 / $80.48	Facility		$12.52	$14.73	$80.48
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $3.03 / $7.27 / $7.27	Facility	AS	$3.03	$7.27	$7.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $32.57 / $48.00	Professional		$20.04	$32.57	$48.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $23.30 / $39.08	Facility		$20.53	$23.30	$39.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $23.30 / $39.08	Professional		$20.53	$23.30	$39.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.32 / $33.70	Professional		$16.07	$19.32	$33.70
United Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $32.57 / $43.82	Professional		$20.37	$32.57	$43.82