Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $676.08	Facility		$128.82	$316.23	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $371.54	Professional		$67.61	$123.03	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $208.93	Professional		$61.66	$97.72	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,737.80	Facility		$676.08	$891.25	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $181.97	Professional		$75.86	$120.23	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $275.42	Professional		$100.00	$181.97	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $331.13	Facility		$79.43	$147.91	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $724.44	Professional		$107.15	$177.83	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $275.42	Professional		$151.36	$208.93	$275.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $295.12	Professional		$151.36	$208.93	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $223.87	Professional		$67.61	$123.03	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,230.27 / $4,466.84	Facility		$346.74	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $223.87	Professional		$81.28	$134.90	$223.87