Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,630.78 / $8,511.38	Facility		$309.03	$3,630.78	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $1,230.27	Professional		$151.36	$354.81	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $426.58	Professional		$213.80	$263.03	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $10,000.00	Facility		$3,890.45	$5,128.61	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $630.96	Professional		$173.78	$302.00	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $912.01	Professional		$169.82	$354.81	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $537.03 / $3,388.44	Facility		$177.83	$537.03	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $3,801.89	Professional		$407.38	$602.56	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $870.96	Professional		$354.81	$645.65	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $676.08	Professional		$331.13	$331.13	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $371.54 / $891.25	Professional		$3.02	$371.54	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $8,128.31	Facility		$2,570.40	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $741.31	Professional		$204.17	$407.38	$741.31