Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,801.89 / $12,589.25	Facility		$162.18	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $223.87	Professional		$38.90	$74.13	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
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 $47.86 / $77.62 / $141.25	Professional		$47.86	$77.62	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $204.17	Professional		$46.77	$97.72	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $123.03 / $1,230.27	Facility		$47.86	$123.03	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $1,380.38	Professional		$93.33	$144.54	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $204.17	Professional		$97.72	$158.49	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $165.96	Professional		$91.20	$91.20	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $158.49 / $199.53	Professional		$3.02	$158.49	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,230.27 / $4,466.84	Facility		$158.49	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $173.78	Professional		$56.23	$95.50	$173.78