Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.45 / $947.45 / $4,014.43	Professional		$947.45	$947.45	$4,014.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.86 / $319.86 / $319.86	Professional		$319.86	$319.86	$319.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,172.22 / $19,955.61 / $38,600.60	Facility		$15,172.22	$19,955.61	$38,600.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $382.36 / $1,128.72	Professional		$168.24	$382.36	$1,128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.42 / $379.42 / $1,701.36	Professional		$379.42	$379.42	$1,701.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.38 / $820.50 / $8,163.00	Facility		$204.38	$820.50	$8,163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $898.16 / $1,533.78 / $2,620.59	Professional		$898.16	$1,533.78	$2,620.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $394.47 / $1,111.91 / $1,973.04	Facility		$394.47	$1,111.91	$1,973.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $1,288.94 / $1,883.35	Professional		$394.47	$1,288.94	$1,883.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.79 / $347.67 / $1,167.88	Professional		$180.79	$347.67	$1,167.88
United Facility/Professional Professional Modifier Low / Median / High Price $898.16 / $1,533.78 / $1,934.49	Professional		$898.16	$1,533.78	$1,934.49