Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $363.08	Facility		$81.28	$194.98	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $316.23	Professional		$53.70	$128.82	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $87.10	Professional		$35.48	$51.29	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $1,047.13	Facility		$416.87	$537.03	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $154.88	Professional		$46.77	$79.43	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $234.42	Professional		$87.10	$125.89	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $363.08	Facility		$60.26	$131.83	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $616.60	Professional		$83.18	$154.88	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $234.42	Professional		$91.20	$154.88	$234.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $251.19	Professional		$89.13	$125.89	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $199.53	Professional		$42.66	$95.50	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,230.27 / $4,466.84	Facility		$199.53	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $190.55	Professional		$51.29	$97.72	$190.55