Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $4,241.22 / $13,841.56	Facility		$149.16	$4,241.22	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $290.95 / $330.09	Professional		$99.03	$290.95	$330.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.86 / $199.86 / $295.51	Professional		$199.86	$199.86	$295.51
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 $104.31 / $197.90 / $304.50	Professional		$104.31	$197.90	$304.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.63 / $330.15 / $426.00	Professional		$237.63	$330.15	$426.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.26 / $229.20 / $504.64	Facility		$126.26	$229.20	$504.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $355.98 / $1,203.59	Professional		$191.56	$355.98	$1,203.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.31 / $299.95 / $426.00	Facility		$147.31	$299.95	$426.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.46 / $290.88 / $426.00	Professional		$217.46	$290.88	$426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $237.30 / $422.60	Professional		$3.00	$237.30	$422.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.17 / $338.19 / $385.28	Professional		$203.17	$338.19	$385.28