Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $3,908.01 / $13,841.56	Facility		$89.35	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $128.76 / $314.04	Professional		$54.08	$128.76	$314.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $53.90 / $175.35	Professional		$53.90	$53.90	$175.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,604.02 / $2,173.87 / $4,080.90	Facility		$1,604.02	$2,173.87	$4,080.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $109.81 / $181.41	Professional		$56.85	$109.81	$181.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $182.49 / $246.25	Professional		$129.33	$182.49	$246.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $134.03 / $1,289.00	Facility		$68.95	$134.03	$1,289.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $208.01 / $716.40	Professional		$111.94	$208.01	$716.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.40 / $178.71 / $245.01	Facility		$93.40	$178.71	$245.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $165.25 / $245.01	Professional		$124.85	$165.25	$245.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $138.80 / $254.50	Professional		$3.00	$138.80	$254.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $197.62 / $230.79	Professional		$118.72	$197.62	$230.79