Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $88.58 / $388.22	Facility		$61.04	$88.58	$388.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $88.58 / $351.54	Professional		$61.04	$88.58	$351.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $143.91 / $215.52	Professional		$132.68	$143.91	$215.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $892.29 / $1,725.99	Facility		$678.41	$892.29	$1,725.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $121.93 / $183.46	Professional		$65.39	$121.93	$183.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $96.08 / $96.08	Facility		$96.08	$96.08	$96.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $193.80 / $271.14	Professional		$103.75	$193.80	$271.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $143.06 / $262.88	Facility		$73.69	$143.06	$262.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $189.73 / $500.32	Professional		$113.56	$189.73	$500.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.68 / $175.01 / $260.62	Facility		$105.68	$175.01	$260.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $180.72 / $252.26	Professional		$133.00	$180.72	$252.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $123.54 / $190.01	Professional		$68.26	$123.54	$190.01
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 $113.56 / $174.70 / $244.58	Professional		$113.56	$174.70	$244.58