Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $3,588.88 / $13,841.56	Facility		$182.85	$3,588.88	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $109.77 / $206.77	Professional		$37.49	$109.77	$206.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.37 / $247.63 / $247.63	Professional		$210.37	$247.63	$247.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,533.80 / $2,223.57 / $3,902.23	Facility		$1,533.80	$2,223.57	$3,902.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $90.81 / $221.62	Professional		$39.96	$90.81	$221.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $164.71 / $335.01	Professional		$79.22	$164.71	$335.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $110.82 / $210.56	Facility		$41.09	$110.82	$210.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $235.16 / $870.16	Professional		$116.71	$235.16	$870.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $216.49 / $288.06	Facility		$92.11	$216.49	$288.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $150.75 / $273.25	Professional		$86.00	$150.75	$273.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $153.30 / $333.60	Professional		$4.00	$153.30	$333.60
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 $116.71 / $224.24 / $280.37	Professional		$116.71	$224.24	$280.37