Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $2,166.29 / $12,036.14	Facility		$62.68	$2,166.29	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $70.45 / $138.00	Professional		$50.92	$70.45	$138.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $83.88 / $123.86	Professional		$55.92	$83.88	$123.86
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 $54.43 / $92.79 / $126.70	Professional		$54.43	$92.79	$126.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $149.19 / $199.64	Professional		$55.85	$149.19	$199.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $109.69 / $331.04	Facility		$50.92	$109.69	$331.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $116.76 / $183.12	Professional		$73.29	$116.76	$183.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $139.41 / $173.47	Facility		$113.00	$139.41	$173.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $137.09 / $173.47	Professional		$100.47	$137.09	$173.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $86.13 / $138.26	Professional		$58.36	$86.13	$138.26
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 $77.26 / $137.97 / $158.58	Professional		$77.26	$137.97	$158.58