Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.84 / $3,398.27 / $12,765.09	Facility		$206.84	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $163.65 / $321.00	Professional		$72.26	$163.65	$321.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $172.58 / $172.67	Professional		$77.39	$172.58	$172.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,651.58 / $3,194.68	Facility		$1,255.69	$1,651.58	$3,194.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $128.37 / $172.88	Professional		$75.54	$128.37	$172.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $196.44 / $270.74	Professional		$70.20	$196.44	$270.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.64 / $148.77 / $721.73	Facility		$73.64	$148.77	$721.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $178.28 / $573.76	Professional		$103.00	$178.28	$573.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $195.67 / $246.21	Facility		$133.36	$195.67	$246.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $173.45 / $239.52	Professional		$126.00	$173.45	$239.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $119.34 / $187.58	Professional		$81.58	$119.34	$187.58
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 $104.97 / $192.25 / $215.08	Professional		$104.97	$192.25	$215.08