Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.90 / $4,241.22 / $13,841.56	Facility		$482.90	$4,241.22	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $189.97 / $659.00	Professional		$91.60	$189.97	$659.00
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $221.35 / $362.59	Professional		$203.13	$221.35	$362.59
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 $96.65 / $183.36 / $313.99	Professional		$96.65	$183.36	$313.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $313.22 / $484.99	Professional		$142.69	$313.22	$484.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $289.48 / $665.60	Facility		$130.69	$289.48	$665.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $334.20 / $735.28	Professional		$187.40	$334.20	$735.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $270.50 / $427.55	Facility		$190.18	$270.50	$427.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $296.16 / $427.55	Professional		$216.88	$296.16	$427.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $176.56 / $334.82	Professional		$104.01	$176.56	$334.82
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 $187.40 / $343.21 / $406.02	Professional		$187.40	$343.21	$406.02