Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,801.89 / $12,589.25	Facility		$199.53	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $575.44	Professional		$100.00	$234.42	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $363.08	Professional		$102.33	$154.88	$363.08
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 $123.03 / $190.55 / $302.00	Professional		$123.03	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $426.58	Professional		$120.23	$251.19	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $229.09 / $1,230.27	Facility		$125.89	$229.09	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $1,202.26	Professional		$194.98	$295.12	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $426.58	Professional		$251.19	$338.84	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $354.81	Professional		$234.42	$234.42	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $263.03 / $426.58	Professional		$3.02	$263.03	$426.58
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 $151.36 / $234.42 / $380.19	Professional		$151.36	$234.42	$380.19