Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $73.98 / $621.34	Facility		$53.57	$73.98	$621.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $76.52 / $349.00	Professional		$53.57	$76.52	$349.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $152.60 / $179.63	Professional		$119.07	$152.60	$179.63
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 $57.06 / $104.72 / $153.56	Professional		$57.06	$104.72	$153.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $76.17 / $76.17	Facility		$76.17	$76.17	$76.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $167.51 / $231.49	Professional		$108.63	$167.51	$231.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $122.08 / $275.80	Facility		$64.02	$122.08	$275.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $163.24 / $436.08	Professional		$96.24	$163.24	$436.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $151.27 / $214.98	Facility		$83.79	$151.27	$214.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $159.00 / $212.19	Professional		$121.57	$159.00	$212.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $101.00 / $164.67	Professional		$67.55	$101.00	$164.67
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 $96.24 / $167.67 / $207.28	Professional		$96.24	$167.67	$207.28