Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,187.76 / $8,511.38	Facility		$162.18	$2,187.76	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $229.09 / $831.76	Professional		$72.44	$229.09	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $309.03	Professional		$72.44	$125.89	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $10,000.00	Facility		$3,890.45	$4,897.79	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $457.09	Professional		$91.20	$194.98	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $549.54	Professional		$97.72	$229.09	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $436.52 / $2,041.74	Facility		$109.65	$436.52	$2,041.74
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	52	$288.40	$288.40	$288.40
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	53	$72.44	$72.44	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $1,778.28	Professional		$269.15	$416.87	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $436.52 / $549.54	Professional		$190.55	$436.52	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $489.78	Professional		$173.78	$173.78	$489.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Facility		$1,479.11	$1,479.11	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $275.42 / $660.69	Professional		$3.02	$275.42	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $6,309.57	Facility		$870.96	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $269.15 / $537.03	Professional		$109.65	$269.15	$537.03