Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.28 / $3,636.59 / $12,765.09	Facility		$467.28	$3,636.59	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $321.83 / $1,084.30	Professional		$188.75	$321.83	$1,084.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
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 $199.94 / $379.30 / $621.13	Professional		$199.94	$379.30	$621.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $622.96 / $912.01	Professional		$251.16	$622.96	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.43 / $497.36 / $1,441.20	Facility		$212.43	$497.36	$1,441.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.22 / $673.81 / $2,487.60	Professional		$364.22	$673.81	$2,487.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.18 / $516.67 / $912.01	Facility		$361.18	$516.67	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $594.01 / $902.51	Professional		$400.00	$594.01	$902.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $374.69 / $667.26	Professional		$215.10	$374.69	$667.26
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 $382.44 / $673.81 / $786.73	Professional		$382.44	$673.81	$786.73