Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $2,951.21 / $8,511.38	Facility		$147.91	$2,951.21	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $181.97 / $549.54	Professional		$67.61	$181.97	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $131.83	Professional		$61.66	$102.33	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $6,760.83	Facility		$2,691.53	$3,467.37	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $229.09 / $549.54	Professional		$81.28	$229.09	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $281.84 / $758.58	Professional		$87.10	$281.84	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $269.15 / $1,174.90	Facility		$70.79	$269.15	$1,174.90
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	52	$263.03	$263.03	$263.03
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	53	$66.07	$66.07	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $501.19 / $2,089.30	Professional		$158.49	$501.19	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $524.81 / $758.58	Professional		$158.49	$524.81	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $446.68 / $660.69	Professional		$123.03	$446.68	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Facility		$1,479.11	$1,479.11	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $208.93 / $812.83	Professional		$3.98	$208.93	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $6,309.57	Facility		$1,148.15	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $645.65	Professional		$93.33	$223.87	$645.65