Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,786.30 / $10,000.00	Facility		$338.84	$4,786.30	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $501.19	Professional		$120.23	$229.09	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $331.13	Professional		$128.82	$154.88	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $4,073.80	Facility		$1,621.81	$2,089.30	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $275.42	Professional		$120.23	$199.53	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $398.11	Professional		$114.82	$275.42	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $223.87 / $1,230.27	Facility		$125.89	$223.87	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $1,096.48	Professional		$158.49	$234.42	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $398.11	Professional		$257.04	$288.40	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $316.23	Professional		$281.84	$281.84	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $194.98 / $398.11	Professional		$3.02	$194.98	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $4,466.84	Facility		$380.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $316.23	Professional		$154.88	$229.09	$316.23