Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.47 / $3,398.27 / $12,765.09	Facility		$124.47	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $124.47 / $581.00	Professional		$90.12	$124.47	$581.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.47 / $184.47 / $208.93	Professional		$184.47	$184.47	$208.93
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 $95.32 / $174.94 / $256.36	Professional		$95.32	$174.94	$256.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $122.76 / $122.76	Facility		$122.76	$122.76	$122.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $263.08 / $384.92	Professional		$170.90	$263.08	$384.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $205.38 / $340.51	Facility		$107.47	$205.38	$340.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $274.94 / $730.48	Professional		$162.16	$274.94	$730.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.04 / $252.56 / $366.30	Facility		$135.04	$252.56	$366.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $262.68 / $357.91	Professional		$198.00	$262.68	$357.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $171.24 / $276.70	Professional		$114.95	$171.24	$276.70
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 $162.16 / $268.19 / $349.27	Professional		$162.16	$268.19	$349.27