Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.73 / $3,908.01 / $13,841.56	Facility		$235.73	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $271.20 / $680.49	Professional		$138.66	$271.20	$680.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.79 / $220.40 / $275.39	Professional		$197.79	$220.40	$275.39
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 $165.58 / $303.87 / $471.94	Professional		$165.58	$303.87	$471.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $514.12 / $734.22	Professional		$209.14	$514.12	$734.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.90 / $380.45 / $1,172.14	Facility		$196.90	$380.45	$1,172.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $516.30 / $1,889.68	Professional		$273.00	$516.30	$1,889.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $282.50 / $422.75 / $638.92	Facility		$282.50	$422.75	$638.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.08 / $473.45 / $673.17	Professional		$333.08	$473.45	$673.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $301.89 / $508.61	Professional		$178.06	$301.89	$508.61
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 $301.89 / $516.30 / $596.40	Professional		$301.89	$516.30	$596.40