Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.27 / $4,917.20 / $13,841.56	Facility		$825.27	$4,917.20	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $376.92 / $834.00	Professional		$19.26	$376.92	$834.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.67 / $298.22 / $379.70	Professional		$223.67	$298.22	$379.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,522.03 / $5,947.70 / $11,504.78	Facility		$4,522.03	$5,947.70	$11,504.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.93 / $252.16 / $336.20	Professional		$147.93	$252.16	$336.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.27 / $383.10 / $1,148.36	Professional		$308.27	$383.10	$1,148.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.29 / $285.44 / $1,848.05	Facility		$154.29	$285.44	$1,848.05
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $93.90 / $236.38 / $236.38	Facility	AS	$93.90	$236.38	$236.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.79 / $362.29 / $1,411.72	Professional		$207.79	$362.29	$1,411.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.89 / $399.65 / $1,316.00	Facility		$265.89	$399.65	$1,316.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $397.72 / $1,234.00	Professional		$294.52	$397.72	$1,234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $278.26 / $335.50	Professional		$155.88	$278.26	$335.50
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 $211.28 / $378.63 / $676.68	Professional		$211.28	$378.63	$676.68