Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $30.21 / $30.21	Facility		$30.21	$30.21	$30.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $57.22 / $77.40	Professional		$26.54	$57.22	$77.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Professional		$57.00	$57.00	$57.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $35.25 / $35.61	Professional		$33.84	$35.25	$35.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $52.50 / $91.19	Professional		$39.03	$52.50	$91.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $52.87 / $199.67	Facility		$30.21	$52.87	$199.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $18.20 / $38.52	Professional		$13.89	$18.20	$38.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $47.41 / $76.67	Facility		$40.01	$47.41	$76.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $50.14 / $91.19	Professional		$40.01	$50.14	$91.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $54.40 / $75.89	Professional		$37.20	$54.40	$75.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $18.20 / $28.55	Professional		$13.89	$18.20	$28.55