Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.70 / $4,241.22 / $13,841.56	Facility		$375.70	$4,241.22	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $137.74 / $319.00	Professional		$42.38	$137.74	$319.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $130.58 / $153.63	Professional		$130.51	$130.58	$153.63
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 $44.50 / $83.57 / $131.25	Professional		$44.50	$83.57	$131.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $137.16 / $196.96	Professional		$58.02	$137.16	$196.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $108.68 / $331.04	Facility		$55.74	$108.68	$331.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $144.74 / $525.36	Professional		$82.15	$144.74	$525.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $131.68 / $191.15	Facility		$98.26	$131.68	$191.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $131.68 / $187.35	Professional		$94.00	$131.68	$187.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $77.27 / $141.86	Professional		$47.74	$77.27	$141.86
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 $82.15 / $150.46 / $168.62	Professional		$82.15	$150.46	$168.62