Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.55 / $5,463.36 / $13,841.56	Facility		$886.55	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $440.56 / $1,591.67	Professional		$78.11	$440.56	$1,591.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $150.22 / $150.22	Professional		$150.22	$150.22	$150.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.66 / $2,735.38 / $3,834.15	Facility		$1,859.66	$2,735.38	$3,834.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $186.06 / $1,744.21	Professional		$81.87	$186.06	$1,744.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.31 / $1,500.28 / $3,011.47	Professional		$162.31	$1,500.28	$3,011.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.92 / $1,174.18 / $2,895.58	Facility		$109.92	$1,174.18	$2,895.58
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $246.93 / $246.93 / $246.93	Facility	62	$246.93	$246.93	$246.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,416.44 / $2,289.96 / $3,729.14	Professional		$1,416.44	$2,289.96	$3,729.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $1,718.25 / $3,076.44	Facility		$189.95	$1,718.25	$3,076.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $1,935.95 / $3,005.34	Professional		$189.95	$1,935.95	$3,005.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $333.70 / $2,740.70	Professional		$333.70	$333.70	$2,740.70
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 $1,416.44 / $2,242.96 / $3,190.08	Professional		$1,416.44	$2,242.96	$3,190.08