Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $95.37 / $95.37	Facility		$95.37	$95.37	$95.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $95.37 / $378.00	Professional		$87.73	$95.37	$378.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $149.54 / $150.00	Professional		$112.16	$149.54	$150.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $144.58 / $146.03	Professional		$131.44	$144.58	$146.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $164.49	Facility		$95.80	$96.73	$164.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $164.49 / $253.67	Professional		$96.73	$164.49	$253.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.79 / $164.01 / $766.63	Facility		$85.79	$164.01	$766.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $74.61 / $160.38	Professional		$56.94	$74.61	$160.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $164.49 / $221.92	Facility		$164.01	$164.49	$221.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $197.15 / $338.91	Professional		$136.79	$197.15	$338.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $178.46 / $311.16	Professional		$152.53	$178.46	$311.16
United Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $74.61 / $109.67	Professional		$56.15	$74.61	$109.67