Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $74.83 / $74.83	Facility		$74.83	$74.83	$74.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $74.83 / $126.52	Professional		$33.93	$74.83	$126.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $88.01 / $88.01	Professional		$88.01	$88.01	$88.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $113.44 / $114.59	Professional		$103.13	$113.44	$114.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $129.07 / $383.66	Facility		$65.81	$129.07	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $129.07 / $199.02	Professional		$65.81	$129.07	$199.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $128.44 / $549.05	Facility		$59.07	$128.44	$549.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $58.54 / $97.56	Professional		$40.49	$58.54	$97.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $129.07 / $162.63	Facility		$128.69	$129.07	$162.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $152.54 / $265.89	Professional		$107.32	$152.54	$265.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $140.04 / $244.17	Professional		$137.29	$140.04	$244.17
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $119.37 / $119.37	Facility		$119.37	$119.37	$119.37
United Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $58.54 / $79.27	Professional		$42.44	$58.54	$79.27