Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $65.00 / $123.30	Professional		$34.96	$65.00	$123.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $95.18 / $106.56	Professional		$60.00	$95.18	$106.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $49.74 / $50.24	Professional		$47.72	$49.74	$50.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $74.06 / $128.61	Professional		$55.06	$74.06	$128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $74.55 / $317.45	Facility		$42.60	$74.55	$317.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $25.66 / $56.44	Professional		$19.59	$25.66	$56.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $66.89 / $108.12	Facility		$56.44	$66.89	$108.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $70.70 / $128.61	Professional		$56.44	$70.70	$128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $76.70 / $107.06	Professional		$52.48	$76.70	$107.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $25.66 / $40.27	Professional		$19.59	$25.66	$40.27