Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $129.22 / $800.22	Facility		$41.20	$129.22	$800.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $83.22 / $251.42	Professional		$40.65	$83.22	$251.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $85.29 / $85.29	Professional		$85.29	$85.29	$85.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.42 / $46.02 / $186.97	Facility		$41.42	$46.02	$186.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $46.02 / $46.64	Professional		$43.71	$46.02	$46.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Facility		$59.00	$59.00	$59.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $50.26 / $74.79	Professional		$40.65	$50.26	$74.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $94.44 / $192.85	Facility		$41.20	$94.44	$192.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $186.00	Professional		$41.20	$41.20	$186.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $50.26 / $87.00	Facility		$47.43	$50.26	$87.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $61.09 / $107.06	Professional		$49.44	$61.09	$107.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $60.17 / $82.93	Professional		$47.04	$60.17	$82.93
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $40.65 / $154.47	Professional		$38.61	$40.65	$154.47