Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.68 / $2,912.34 / $12,036.14	Facility		$396.68	$2,912.34	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $272.85 / $805.27	Professional		$139.97	$272.85	$805.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $232.57 / $407.00	Professional		$215.87	$232.57	$407.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.23 / $1,181.41 / $2,285.23	Facility		$898.23	$1,181.41	$2,285.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $280.80 / $490.35	Professional		$148.02	$280.80	$490.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $461.50 / $701.90	Professional		$197.49	$461.50	$701.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.01 / $339.35 / $1,065.59	Facility		$195.01	$339.35	$1,065.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.17 / $523.59 / $1,127.11	Professional		$297.17	$523.59	$1,127.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.79 / $389.19 / $647.66	Facility		$305.79	$389.19	$647.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.38 / $453.56 / $701.90	Professional		$295.38	$453.56	$701.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $278.64 / $523.28	Professional		$159.31	$278.64	$523.28
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 $297.17 / $544.25 / $634.07	Professional		$297.17	$544.25	$634.07