Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.25 / $4,241.22 / $12,765.09	Facility		$692.25	$4,241.22	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $197.84 / $512.09	Professional		$101.58	$197.84	$512.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $347.36 / $347.36	Professional		$301.64	$347.36	$347.36
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 $107.56 / $197.41 / $298.38	Professional		$107.56	$197.41	$298.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $335.18 / $462.59	Professional		$132.03	$335.18	$462.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.21 / $242.51 / $1,775.00	Facility		$125.21	$242.51	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.59 / $321.77 / $818.56	Professional		$179.59	$321.77	$818.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.95 / $276.23 / $405.94	Facility		$181.95	$276.23	$405.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $299.33 / $424.52	Professional		$213.23	$299.33	$424.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $200.12 / $320.76	Professional		$115.77	$200.12	$320.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $332.25 / $385.44	Professional		$188.57	$332.25	$385.44