Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.35 / $4,241.22 / $13,841.56	Facility		$312.35	$4,241.22	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $80.98 / $199.20	Professional		$34.22	$80.98	$199.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $109.34 / $128.69	Professional		$103.00	$109.34	$128.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,442.56 / $3,212.63 / $6,214.26	Facility		$2,442.56	$3,212.63	$6,214.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $52.71 / $110.41	Professional		$24.71	$52.71	$110.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $110.77 / $174.63	Professional		$49.01	$110.77	$174.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $68.78 / $1,242.00	Facility		$23.53	$68.78	$1,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $125.21 / $209.46	Professional		$71.52	$125.21	$209.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $110.77 / $174.63	Facility		$55.31	$110.77	$174.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $108.53 / $163.02	Professional		$55.31	$108.53	$163.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $50.76 / $118.84	Professional		$26.40	$50.76	$118.84
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 $71.52 / $130.97 / $142.30	Professional		$71.52	$130.97	$142.30