Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $99.96 / $263.14	Facility		$48.35	$99.96	$263.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $121.24 / $363.13	Professional		$72.00	$121.24	$363.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $189.00	Professional		$59.00	$59.00	$189.00
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 $118.47 / $209.12 / $209.12	Facility		$118.47	$209.12	$209.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $209.12 / $322.45	Professional		$120.81	$209.12	$322.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $208.09 / $889.53	Facility		$121.24	$208.09	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $94.84 / $200.00	Professional		$66.79	$94.84	$200.00
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 $199.08 / $250.63 / $430.82	Professional		$199.08	$250.63	$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 $68.76 / $94.84 / $133.57	Professional		$68.76	$94.84	$133.57