Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $54.72 / $54.72	Facility		$54.72	$54.72	$54.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $60.00 / $220.00	Professional		$54.72	$60.00	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $65.00 / $112.00	Professional		$30.00	$65.00	$112.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $72.37 / $73.09	Professional		$65.79	$72.37	$73.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $87.14 / $107.92	Facility		$84.97	$87.14	$107.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $107.92 / $191.27	Professional		$84.97	$107.92	$191.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $93.92 / $370.47	Facility		$54.72	$93.92	$370.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $56.26 / $90.37	Professional		$39.08	$56.26	$90.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $108.53 / $156.28	Facility		$107.92	$108.53	$156.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $133.58 / $228.32	Professional		$108.53	$133.58	$228.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $84.08 / $153.63	Professional		$76.45	$84.08	$153.63
United Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $56.26 / $86.84	Professional		$32.67	$56.26	$86.84