Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $344.03 / $13,841.56	Facility		$102.78	$344.03	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.52 / $226.45 / $909.00	Professional		$115.52	$226.45	$909.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.39 / $187.39 / $187.39	Professional		$187.39	$187.39	$187.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $715.74 / $1,343.62	Facility		$528.12	$715.74	$1,343.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $233.06 / $397.56	Professional		$120.64	$233.06	$397.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $391.65 / $530.88	Professional		$245.50	$391.65	$530.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.52 / $250.65 / $554.07	Facility		$132.52	$250.65	$554.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.86 / $440.31 / $1,560.64	Professional		$248.86	$440.31	$1,560.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.82 / $391.65 / $530.88	Facility		$250.82	$391.65	$530.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $375.96 / $530.88	Professional		$242.00	$375.96	$530.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $458.60 / $576.50	Professional		$143.19	$458.60	$576.50
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 $266.64 / $418.30 / $507.79	Professional		$266.64	$418.30	$507.79