Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.00 / $5,161.91 / $13,841.56	Facility		$865.00	$5,161.91	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $119.47 / $274.92	Professional		$43.98	$119.47	$274.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $237.35 / $279.38	Professional		$52.24	$237.35	$279.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,665.88 / $3,864.78 / $6,782.44	Facility		$2,665.88	$3,864.78	$6,782.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $105.29 / $240.83	Professional		$46.32	$105.29	$240.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $198.55 / $375.92	Professional		$91.85	$198.55	$375.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $119.47 / $264.06	Facility		$43.98	$119.47	$264.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $286.32 / $946.80	Professional		$150.06	$286.32	$946.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $190.84 / $347.08	Facility		$111.95	$190.84	$347.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $185.43 / $330.04	Professional		$106.27	$185.43	$330.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $172.50 / $351.80	Professional		$4.00	$172.50	$351.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,134.92 / $1,549.22 / $6,043.00	Facility		$1,134.92	$1,549.22	$6,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $256.61 / $323.64	Professional		$171.28	$256.61	$323.64