Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $1,513.56	Facility		$302.00	$478.63	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $1,023.29	Professional		$281.84	$416.87	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $177.83 / $501.19	Professional		$19.05	$177.83	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $602.56 / $776.25	Facility		$467.74	$602.56	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $676.08	Professional		$602.56	$645.65	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,000.00	Professional		$501.19	$794.33	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $1,995.26	Facility		$251.19	$426.58	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $1,071.52	Professional		$158.49	$229.09	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $831.76	Facility		$173.78	$398.11	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $416.87	Professional		$213.80	$229.09	$416.87