Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,801.89 / $12,589.25	Facility		$436.52	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $426.58	Professional		$114.82	$204.17	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $16,595.87	Facility		$6,456.54	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $407.38	Professional		$141.25	$234.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $630.96	Professional		$151.36	$288.40	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $645.65	Facility		$123.03	$218.78	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,659.59	Professional		$245.47	$478.63	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $616.60	Professional		$269.15	$407.38	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $512.86	Professional		$208.93	$363.08	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $208.93 / $602.56	Professional		$5.01	$208.93	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $8,128.31	Facility		$2,630.27	$3,715.35	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $512.86	Professional		$154.88	$269.15	$512.86