Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,388.44 / $8,511.38	Facility		$416.87	$3,388.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $229.09	Professional		$40.74	$85.11	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $81.28	Professional		$26.30	$47.86	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,388.44	Facility		$1,318.26	$1,737.80	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $89.13	Professional		$39.81	$66.07	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $134.90	Professional		$51.29	$100.00	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $4,365.16	Facility		$52.48	$97.72	$4,365.16
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	53	$50.12	$50.12	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $537.03	Professional		$56.23	$93.33	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $138.04	Professional		$93.33	$104.71	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,128.31 / $8,128.31	Facility		$6,918.31	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $120.23	Professional		$60.26	$91.20	$120.23