Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $152.91 / $2,508.23	Facility		$25.80	$152.91	$2,508.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $105.99 / $221.22	Professional		$84.17	$105.99	$221.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $124.66 / $160.00	Professional		$59.00	$124.66	$160.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $160.69 / $162.31	Professional		$146.09	$160.69	$162.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $182.83 / $182.83	Facility		$86.64	$182.83	$182.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $180.47 / $281.93	Professional		$86.64	$180.47	$281.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $180.18 / $670.88	Facility		$83.28	$180.18	$670.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $82.92 / $175.51	Professional		$55.28	$82.92	$175.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.30 / $182.83 / $230.37	Facility		$182.30	$182.83	$230.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $213.57 / $361.43	Professional		$143.11	$213.57	$361.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.47 / $198.36 / $345.86	Professional		$194.47	$198.36	$345.86
United Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $81.45 / $95.84	Professional		$55.28	$81.45	$95.84