Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.42 / $4,551.42 / $12,765.09	Facility		$376.42	$4,551.42	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $88.34 / $465.00	Professional		$88.34	$88.34	$465.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $179.03 / $179.03	Professional		$179.03	$179.03	$179.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $715.74 / $1,343.62	Facility		$528.12	$715.74	$1,343.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $146.69 / $195.59	Professional		$86.06	$146.69	$195.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $222.85 / $338.48	Professional		$179.32	$222.85	$338.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $167.85 / $4,317.00	Facility		$88.34	$167.85	$4,317.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $235.32 / $720.56	Professional		$164.18	$235.32	$720.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $258.64 / $1,505.07	Facility		$179.32	$258.64	$1,505.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $258.64 / $330.58	Professional		$179.32	$258.64	$330.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.10 / $283.10 / $283.10	Professional		$283.10	$283.10	$283.10
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 $164.18 / $242.98 / $271.11	Professional		$164.18	$242.98	$271.11