Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $21.30 / $21.30	Facility		$21.30	$21.30	$21.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $21.30 / $95.15	Professional		$17.48	$21.30	$95.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $38.58	Professional		$32.79	$32.79	$38.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $24.87 / $25.12	Professional		$23.85	$24.87	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $37.02 / $64.31	Professional		$27.52	$37.02	$64.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $37.28 / $158.72	Facility		$21.30	$37.28	$158.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $12.83 / $27.17	Professional		$9.78	$12.83	$27.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $33.44 / $54.08	Facility		$28.21	$33.44	$54.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $35.36 / $64.31	Professional		$28.21	$35.36	$64.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $38.40 / $53.51	Professional		$26.23	$38.40	$53.51
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $12.83 / $20.13	Professional		$9.30	$12.83	$20.13