Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $8,477.27 / $20,928.72	Facility		$128.47	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $128.47 / $647.00	Professional		$55.46	$128.47	$647.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.94 / $250.94 / $250.94	Professional		$250.94	$250.94	$250.94
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 $58.22 / $122.93 / $256.62	Professional		$58.22	$122.93	$256.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $184.58 / $401.06	Professional		$93.82	$184.58	$401.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $180.50 / $331.04	Facility		$79.73	$180.50	$331.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $283.43 / $516.88	Professional		$158.19	$283.43	$516.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $213.58 / $372.07	Facility		$130.28	$213.58	$372.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $207.89 / $372.07	Professional		$130.28	$207.89	$372.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $120.44 / $272.61	Professional		$62.63	$120.44	$272.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.11 / $292.66 / $331.84	Professional		$166.11	$292.66	$331.84