Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.47 / $4,241.22 / $13,841.56	Facility		$896.47	$4,241.22	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $105.47 / $267.85	Professional		$73.39	$105.47	$267.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $146.44 / $146.44	Professional		$146.44	$146.44	$146.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,531.27 / $9,468.52 / $16,616.63	Facility		$6,531.27	$9,468.52	$16,616.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $144.62 / $206.69	Professional		$81.96	$144.62	$206.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $224.97 / $351.21	Professional		$119.05	$224.97	$351.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.55 / $137.46 / $264.33	Facility		$78.55	$137.46	$264.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.51 / $266.83 / $819.52	Professional		$168.51	$266.83	$819.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.04 / $208.94 / $329.67	Facility		$118.04	$208.94	$329.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $217.62 / $319.08	Professional		$162.26	$217.62	$319.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $130.40 / $305.50	Professional		$5.00	$130.40	$305.50
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 $149.21 / $256.00 / $314.55	Professional		$149.21	$256.00	$314.55