Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,297.33 / $5,463.36 / $13,841.56	Facility		$2,297.33	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.39 / $536.86 / $2,618.96	Professional		$246.39	$536.86	$2,618.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,070.21 / $2,070.21 / $2,070.21	Professional		$2,070.21	$2,070.21	$2,070.21
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 $369.51 / $3,447.27 / $4,892.18	Professional		$369.51	$3,447.27	$4,892.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.19 / $3,738.63 / $8,076.81	Professional		$387.19	$3,738.63	$8,076.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.39 / $1,119.58 / $4,272.68	Facility		$246.39	$1,119.58	$4,272.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $962.58 / $5,443.82 / $17,828.88	Professional		$962.58	$5,443.82	$17,828.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $592.42 / $3,711.53 / $6,941.73	Facility		$592.42	$3,711.53	$6,941.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $581.51 / $4,485.71 / $7,732.83	Professional		$581.51	$4,485.71	$7,732.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $645.20 / $5,010.10	Professional		$259.08	$645.20	$5,010.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.67 / $4,899.43 / $6,742.17	Professional		$1,153.67	$4,899.43	$6,742.17