Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,265.80 / $8,511.38	Facility		$1,584.89	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $380.19 / $891.25	Professional		$158.49	$380.19	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $794.33	Professional		$138.04	$331.13	$794.33
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 $190.55 / $346.74 / $741.31	Professional		$190.55	$346.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $478.63 / $1,071.52	Professional		$190.55	$478.63	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $3,388.44	Facility		$194.98	$524.81	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,479.11	Professional		$457.09	$660.69	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $977.24	Professional		$398.11	$776.25	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $812.83	Professional		$363.08	$363.08	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $588.84 / $1,047.13	Professional		$3.02	$588.84	$1,047.13
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 $229.09 / $457.09 / $870.96	Professional		$229.09	$457.09	$870.96