Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $3,908.01 / $13,841.56	Facility		$35.33	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $80.59 / $169.11	Professional		$26.67	$80.59	$169.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $52.58	Professional		$52.58	$52.58	$52.58
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 $27.94 / $49.53 / $70.93	Professional		$27.94	$49.53	$70.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $84.94 / $109.89	Professional		$62.60	$84.94	$109.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $60.06 / $130.19	Facility		$34.00	$60.06	$130.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $88.73 / $499.45	Professional		$47.74	$88.73	$499.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $82.24 / $109.89	Facility		$62.60	$82.24	$109.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $77.19 / $103.83	Professional		$57.35	$77.19	$103.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $87.80 / $98.30	Professional		$66.80	$87.80	$98.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $84.29 / $91.26	Professional		$54.26	$84.29	$91.26