Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $39.11 / $165.89	Facility		$28.27	$39.11	$165.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $130.69	Professional		$20.35	$20.55	$130.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Professional		$25.60	$25.60	$25.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $22.08 / $22.08	Facility		$18.77	$22.08	$22.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $24.96 / $34.67	Professional		$23.71	$24.96	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $102.00 / $102.00	Facility		$102.00	$102.00	$102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $39.43 / $81.25	Professional		$20.35	$39.43	$81.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $45.37 / $215.48	Facility		$25.44	$45.37	$215.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $30.46 / $199.81	Professional		$25.60	$30.46	$199.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $59.46 / $131.02	Facility		$30.72	$59.46	$131.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $60.98 / $182.18	Professional		$30.72	$60.98	$182.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $39.60 / $53.25	Professional		$23.81	$39.60	$53.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $24.22	Professional		$20.35	$20.35	$24.22