Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $123.61 / $188.15	Facility		$85.25	$123.61	$188.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $21,115.11	Professional		$85.12	$85.96	$21,115.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $148.96 / $176.47	Professional		$85.25	$148.96	$176.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $92.35 / $92.35	Facility		$78.50	$92.35	$92.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $104.39 / $104.55	Professional		$99.17	$104.39	$104.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Facility		$87.00	$87.00	$87.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $116.26 / $129.18	Professional		$85.12	$116.26	$129.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $126.31 / $170.50	Facility		$80.70	$126.31	$170.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $94.90 / $154.68	Professional		$83.87	$94.90	$154.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $125.80 / $157.38	Facility		$100.64	$125.80	$157.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $125.82 / $129.18	Professional		$100.64	$125.82	$129.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $120.10 / $175.99	Professional		$99.59	$120.10	$175.99
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $103.07	Professional		$85.12	$85.12	$103.07