Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $39.34 / $39.34	Facility		$39.34	$39.34	$39.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $39.34 / $90.75	Professional		$15.17	$39.34	$90.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $71.27 / $71.27	Professional		$71.27	$71.27	$71.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $45.93 / $46.39	Professional		$44.07	$45.93	$46.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $68.37 / $118.78	Professional		$50.83	$68.37	$118.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $68.84 / $156.66	Facility		$39.34	$68.84	$156.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $23.70 / $52.10	Professional		$18.09	$23.70	$52.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $61.05 / $99.87	Facility		$52.10	$61.05	$99.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $54.81 / $104.03	Professional		$47.00	$54.81	$104.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $70.80 / $98.86	Professional		$48.46	$70.80	$98.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $23.70 / $37.18	Professional		$18.09	$23.70	$37.18