Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $541.91 / $541.91	Facility		$121.24	$541.91	$541.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $121.24 / $422.00	Professional		$100.00	$121.24	$422.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $142.58 / $180.00	Professional		$142.58	$142.58	$180.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $183.78 / $185.65	Professional		$167.09	$183.78	$185.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $209.12 / $209.12	Facility		$106.63	$209.12	$209.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $209.12 / $322.45	Professional		$106.63	$209.12	$322.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $206.11 / $889.53	Facility		$95.24	$206.11	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $94.84 / $176.46	Professional		$65.59	$94.84	$176.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.52 / $209.12 / $263.49	Facility		$208.52	$209.12	$263.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $247.14 / $430.82	Professional		$187.00	$247.14	$430.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.43 / $226.87 / $395.58	Professional		$222.43	$226.87	$395.58
United Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $94.84 / $128.46	Professional		$65.59	$94.84	$128.46