Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $71.91 / $71.91	Facility		$71.91	$71.91	$71.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $71.91 / $314.00	Professional		$66.64	$71.91	$314.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $109.02 / $110.12	Professional		$99.10	$109.02	$110.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $124.04	Facility		$84.33	$88.85	$124.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $124.04 / $191.27	Professional		$88.85	$124.04	$191.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $123.43 / $587.62	Facility		$62.13	$123.43	$587.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $56.26 / $93.76	Professional		$42.65	$56.26	$93.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $124.04 / $168.54	Facility		$123.68	$124.04	$168.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $148.66 / $255.53	Professional		$112.30	$148.66	$255.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $132.85 / $230.03	Professional		$115.02	$132.85	$230.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $56.26 / $83.30	Professional		$42.65	$56.26	$83.30