Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $55.57 / $122.83	Facility		$54.67	$55.57	$122.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $61.12 / $15,444.25	Professional		$55.57	$61.12	$15,444.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $95.67 / $113.17	Professional		$95.67	$95.67	$113.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $60.29 / $60.29	Facility		$51.25	$60.29	$60.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $67.04 / $68.15	Professional		$63.68	$67.04	$68.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $75.15 / $81.61	Professional		$55.57	$75.15	$81.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $80.73 / $109.34	Facility		$49.20	$80.73	$109.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $58.99 / $89.93	Professional		$52.99	$58.99	$89.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $79.48 / $103.01	Facility		$63.59	$79.48	$103.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $79.13 / $82.00	Professional		$63.59	$79.13	$82.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $76.90 / $113.36	Professional		$64.42	$76.90	$113.36
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $66.13	Professional		$55.57	$55.57	$66.13