Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $113.78 / $173.23	Facility		$78.47	$113.78	$173.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.47 / $12,188.86	Professional		$78.37	$78.47	$12,188.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $78.47 / $78.47	Professional		$78.47	$78.47	$78.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $85.02 / $85.02	Facility		$72.27	$85.02	$85.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $96.10 / $96.23	Professional		$91.29	$96.10	$96.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $100.30 / $119.39	Professional		$78.37	$100.30	$119.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $113.78 / $153.02	Facility		$73.72	$113.78	$153.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $86.30 / $217.38	Professional		$77.52	$86.30	$217.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $116.29 / $143.75	Facility		$70.81	$116.29	$143.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $98.52 / $121.00	Professional		$72.88	$98.52	$121.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $110.60 / $163.90	Professional		$91.69	$110.60	$163.90
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $100.38	Professional		$78.37	$78.37	$100.38