Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.80 / $3,398.27 / $12,765.09	Facility		$428.80	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $74.40 / $252.20	Professional		$46.56	$74.40	$252.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $108.67 / $108.67	Professional		$108.67	$108.67	$108.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,229.71 / $1,666.57 / $3,128.57	Facility		$1,229.71	$1,666.57	$3,128.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $83.31 / $114.51	Professional		$48.86	$83.31	$114.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $140.19 / $175.45	Professional		$107.71	$140.19	$175.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $88.46 / $637.50	Facility		$48.22	$88.46	$637.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $138.44 / $372.48	Professional		$71.81	$138.44	$372.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $131.00 / $175.45	Facility		$107.71	$131.00	$175.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $133.87 / $161.19	Professional		$107.71	$133.87	$161.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $76.80 / $152.60	Professional		$66.80	$76.80	$152.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $131.53 / $164.30	Professional		$79.80	$131.53	$164.30