Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,011.87 / $12,589.25	Facility		$2,187.76	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $776.25	Professional		$208.93	$371.54	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $398.11	Professional		$354.81	$354.81	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $10,471.29	Facility		$4,073.80	$5,370.32	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $831.76	Professional		$338.84	$588.84	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,122.02	Professional		$316.23	$512.86	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $4,073.80	Facility		$316.23	$524.81	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $2,818.38	Professional		$389.05	$707.95	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $933.25	Professional		$512.86	$741.31	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $912.01	Professional		$380.19	$616.60	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $389.05 / $1,000.00	Professional		$5.01	$389.05	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $8,128.31	Facility		$3,467.37	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $912.01	Professional		$302.00	$512.86	$912.01