Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,011.87 / $11,481.54	Facility		$691.83	$5,011.87	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $1,202.26	Professional		$199.53	$302.00	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $478.63	Professional		$194.98	$194.98	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $6,165.95	Facility		$2,398.83	$3,162.28	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $616.60	Professional		$245.47	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $912.01	Professional		$239.88	$602.56	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $478.63 / $6,309.57	Facility		$257.04	$478.63	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $2,398.83	Professional		$407.38	$660.69	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $954.99	Professional		$501.19	$691.83	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $691.83	Professional		$478.63	$478.63	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $575.44 / $891.25	Professional		$3.02	$575.44	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,495.41 / $8,128.31	Facility		$3,630.78	$5,495.41	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $758.58	Professional		$302.00	$467.74	$758.58