Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,890.45 / $8,511.38	Facility		$870.96	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $1,023.29	Professional		$158.49	$346.74	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $588.84	Professional		$125.89	$275.42	$588.84
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 $169.82 / $302.00 / $616.60	Professional		$169.82	$302.00	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $891.25	Professional		$169.82	$354.81	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $562.34 / $4,570.88	Facility		$208.93	$562.34	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $2,570.40	Professional		$371.54	$537.03	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $776.25	Professional		$354.81	$616.60	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $660.69	Professional		$331.13	$331.13	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,265.80	Facility		$3,630.78	$3,630.78	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $549.54 / $851.14	Professional		$3.02	$549.54	$851.14
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 / $380.19 / $707.95	Professional		$204.17	$380.19	$707.95