Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.22 / $5,463.36 / $13,841.56	Facility		$332.22	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $240.63 / $573.00	Professional		$76.48	$240.63	$573.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.24 / $61.91 / $218.72	Professional	52	$38.24	$61.91	$218.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $246.40 / $289.88	Professional		$176.97	$246.40	$289.88
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 $82.26 / $154.50 / $248.53	Professional		$82.26	$154.50	$248.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $248.19 / $374.39	Professional		$108.15	$248.19	$374.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $188.28 / $393.76	Facility		$102.08	$188.28	$393.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $276.76 / $624.79	Professional		$155.19	$276.76	$624.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $185.58 / $249.34 / $348.79	Facility		$185.58	$249.34	$348.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $248.19 / $348.79	Professional		$163.09	$248.19	$348.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $155.52 / $267.68	Professional		$89.22	$155.52	$267.68
United Facility/Professional Facility Modifier Low / Median / High Price $247.36 / $337.66 / $4,317.00	Facility		$247.36	$337.66	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $277.13 / $319.80	Professional		$155.19	$277.13	$319.80