Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $25.26 / $173.97	Facility		$8.32	$25.26	$173.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $172.73 / $464.80	Professional		$60.00	$172.73	$464.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $169.00 / $272.79	Professional		$135.00	$169.00	$272.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.75 / $263.74 / $266.39	Professional		$239.75	$263.74	$266.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $300.07 / $300.07	Facility		$142.00	$300.07	$300.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $300.07 / $462.73	Professional		$142.00	$300.07	$462.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.97 / $298.60 / $1,281.52	Facility		$173.97	$298.60	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $136.10 / $265.87	Professional		$103.86	$136.10	$265.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $300.07 / $378.09	Facility		$299.20	$300.07	$378.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.69 / $359.64 / $618.23	Professional		$285.69	$359.64	$618.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $87.21 / $87.21	Facility		$87.21	$87.21	$87.21
United Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $136.10 / $213.53	Professional		$98.67	$136.10	$213.53