Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,466.84 / $8,511.38	Facility		$575.44	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $831.76	Professional		$162.18	$346.74	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $218.78	Professional		$95.50	$154.88	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $11,748.98	Facility		$4,570.88	$6,025.60	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $724.44	Professional		$199.53	$354.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $426.58 / $1,096.48	Professional		$194.98	$426.58	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $602.56 / $5,495.41	Facility		$208.93	$602.56	$5,495.41
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	52	$616.60	$616.60	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $2,754.23	Professional		$489.78	$741.31	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $1,047.13	Professional		$416.87	$794.33	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $812.83	Professional		$380.19	$380.19	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $501.19 / $1,000.00	Professional		$6.03	$501.19	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $8,128.31	Facility		$2,691.53	$3,715.35	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $870.96	Professional		$239.88	$478.63	$870.96