Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.22 / $3,388.54 / $12,765.09	Facility		$249.22	$3,388.54	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $100.58 / $222.42	Professional		$34.07	$100.58	$222.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $58.89	Professional		$58.89	$58.89	$58.89
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 $36.46 / $77.51 / $162.00	Professional		$36.46	$77.51	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $161.55 / $232.84	Professional		$64.92	$161.55	$232.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $154.19 / $1,242.00	Facility		$46.78	$154.19	$1,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $175.34 / $644.40	Professional		$99.51	$175.34	$644.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $149.38 / $228.32	Facility		$82.76	$149.38	$228.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $119.00 / $222.19	Professional		$82.76	$119.00	$222.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $75.31 / $169.77	Professional		$39.15	$75.31	$169.77
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 $99.51 / $154.01 / $205.18	Professional		$99.51	$154.01	$205.18