Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,801.89 / $12,589.25	Facility		$645.65	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $489.78	Professional		$75.86	$218.78	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
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 $93.33 / $229.09 / $549.54	Professional		$93.33	$229.09	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $316.23 / $724.44	Professional		$102.33	$316.23	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $251.19 / $549.54	Facility		$77.62	$251.19	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $2,137.96	Professional		$275.42	$588.84	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $524.81 / $724.44	Professional		$162.18	$524.81	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $426.58 / $660.69	Professional		$138.04	$426.58	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $194.98 / $831.76	Professional		$3.98	$194.98	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,162.28 / $8,128.31	Facility		$1,148.15	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $630.96	Professional		$102.33	$269.15	$630.96