Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $7,943.28 / $14,454.40	Facility		$204.17	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $354.81	Professional		$102.33	$204.17	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $204.17	Professional		$134.90	$134.90	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $5,754.40	Facility		$2,238.72	$2,951.21	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $269.15	Professional		$112.20	$194.98	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $436.52	Professional		$123.03	$269.15	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $204.17 / $1,230.27	Facility		$131.83	$204.17	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $1,096.48	Professional		$186.21	$281.84	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $407.38	Professional		$257.04	$323.59	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $323.59	Professional		$251.19	$251.19	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $190.55 / $371.54	Professional		$3.02	$190.55	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,230.27 / $4,466.84	Facility		$251.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $338.84	Professional		$147.91	$229.09	$338.84