Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $48.98 / $331.13	Facility		$44.67	$48.98	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $263.03	Professional		$31.62	$58.88	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $134.90	Professional		$56.23	$67.61	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $66.07	Professional		$58.88	$64.57	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $100.00	Facility		$67.61	$67.61	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $173.78	Professional		$67.61	$97.72	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $87.10 / $338.84	Facility		$48.98	$87.10	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $97.72	Professional		$33.88	$52.48	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $223.87	Professional		$97.72	$97.72	$223.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $223.87	Professional		$134.90	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $147.91	Professional		$69.18	$91.20	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $128.82	Facility		$38.02	$57.54	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $77.62	Professional		$33.11	$51.29	$77.62