Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,187.76 / $8,511.38	Facility		$102.33	$2,187.76	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $120.23	Professional		$25.12	$57.54	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $85.11	Professional		$33.11	$69.18	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $912.01	Facility		$354.81	$467.74	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $85.11	Professional		$28.84	$47.86	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $70.79 / $128.82	Professional		$29.51	$70.79	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $1,230.27	Facility		$34.67	$109.65	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $426.58	Professional		$58.88	$95.50	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $128.82	Professional		$58.88	$95.50	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $97.72	Professional		$54.95	$54.95	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $36.31 / $125.89	Professional		$3.02	$36.31	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,230.27 / $4,466.84	Facility		$165.96	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $109.65	Professional		$35.48	$60.26	$109.65