Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.30 / $43.63	Professional		$12.88	$19.30	$43.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $22.53 / $22.77	Professional		$21.62	$22.53	$22.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $33.54 / $58.29	Professional		$24.95	$33.54	$58.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $33.79 / $117.78	Facility		$19.30	$33.79	$117.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.63 / $24.61	Professional		$8.88	$11.63	$24.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $30.32 / $49.00	Facility		$25.57	$30.32	$49.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $32.04 / $58.29	Professional		$25.57	$32.04	$58.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $34.79 / $48.53	Professional		$23.79	$34.79	$48.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $11.63 / $18.25	Professional		$8.43	$11.63	$18.25