Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.15 / $5,463.36 / $13,841.56	Facility		$1,506.15	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $132.26 / $302.27	Professional		$62.65	$132.26	$302.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $28.05 / $28.05	Professional		$28.05	$28.05	$28.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,551.47 / $4,813.14 / $9,035.51	Facility		$3,551.47	$4,813.14	$9,035.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $136.25 / $266.11	Professional		$66.90	$136.25	$266.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $262.16 / $404.16	Professional		$150.76	$262.16	$404.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.88 / $198.39 / $2,192.80	Facility		$79.88	$198.39	$2,192.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.58 / $328.35 / $1,045.44	Professional		$185.58	$328.35	$1,045.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $217.98 / $383.12	Facility		$151.38	$217.98	$383.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $225.32 / $383.12	Professional		$151.38	$225.32	$383.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $113.00 / $385.40	Professional		$4.00	$113.00	$385.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.58 / $291.47 / $341.63	Professional		$185.58	$291.47	$341.63