Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.67 / $3,398.27 / $12,765.09	Facility		$537.67	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $352.99 / $980.00	Professional		$156.25	$352.99	$980.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $438.46 / $438.46 / $438.46	Professional		$438.46	$438.46	$438.46
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 $165.24 / $313.45 / $528.41	Professional		$165.24	$313.45	$528.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $527.85 / $816.11	Professional		$222.59	$527.85	$816.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.12 / $388.49 / $1,191.11	Facility		$218.12	$388.49	$1,191.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.11 / $565.77 / $1,259.59	Professional		$321.11	$565.77	$1,259.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $441.64 / $759.89	Facility		$318.22	$441.64	$759.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.06 / $499.07 / $759.89	Professional		$333.06	$499.07	$759.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $309.63 / $563.74	Professional		$177.58	$309.63	$563.74
United Facility/Professional Facility Modifier Low / Median / High Price $311.50 / $1,242.00 / $4,406.00	Facility		$311.50	$1,242.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.11 / $565.77 / $669.29	Professional		$321.11	$565.77	$669.29