Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.51 / $4,344.29 / $12,765.09	Facility		$758.51	$4,344.29	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $282.23 / $931.00	Professional		$178.96	$282.23	$931.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $183.31 / $357.76	Professional		$159.87	$183.31	$357.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,100.60 / $4,495.00 / $7,888.43	Facility		$3,100.60	$4,495.00	$7,888.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $425.13 / $930.75	Professional		$188.94	$425.13	$930.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $678.90 / $1,316.40	Professional		$371.70	$678.90	$1,316.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.36 / $462.67 / $1,079.58	Facility		$189.36	$462.67	$1,079.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.10 / $1,033.48 / $3,654.56	Professional		$332.10	$1,033.48	$3,654.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $373.26 / $953.00 / $1,522.92	Facility		$373.26	$953.00	$1,522.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $373.26 / $637.92 / $1,210.82	Professional		$373.26	$637.92	$1,210.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $390.70 / $1,381.30	Professional		$5.00	$390.70	$1,381.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $3,167.00 / $7,772.00	Facility		$2,679.00	$3,167.00	$7,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.14 / $1,033.59 / $1,253.76	Professional		$448.14	$1,033.59	$1,253.76