Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $122.11 / $122.11	Facility		$122.11	$122.11	$122.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $122.11 / $358.35	Professional		$122.11	$122.11	$358.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $143.61 / $162.76	Professional		$143.61	$143.61	$162.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $185.12 / $186.99	Professional		$168.28	$185.12	$186.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $210.63 / $210.63	Facility		$107.42	$210.63	$210.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $210.63 / $324.77	Professional		$107.42	$210.63	$324.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.41 / $208.32 / $899.40	Facility		$96.41	$208.32	$899.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $95.52 / $159.19	Professional		$66.08	$95.52	$159.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.01 / $210.63 / $265.37	Facility		$210.01	$210.63	$265.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $248.92 / $433.90	Professional		$190.69	$248.92	$433.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $228.51 / $398.43	Professional		$224.03	$228.51	$398.43
United Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $85.00 / $141.00	Facility		$64.75	$85.00	$141.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $95.52 / $132.15	Professional		$69.26	$95.52	$132.15