Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $6,165.95 / $12,589.25	Facility		$354.81	$6,165.95	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $851.14	Professional		$165.96	$331.13	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $660.69	Professional		$323.59	$489.78	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,585.78 / $14,791.08	Facility		$5,754.40	$7,585.78	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $645.65	Professional		$204.17	$338.84	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $1,000.00	Professional		$204.17	$446.68	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $537.03 / $5,248.07	Facility		$213.80	$537.03	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $2,570.40	Professional		$426.58	$660.69	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $954.99	Professional		$426.58	$741.31	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $758.58	Professional		$398.11	$398.11	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $588.84 / $954.99	Professional		$3.02	$588.84	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $8,128.31	Facility		$3,630.78	$4,897.79	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $831.76	Professional		$251.19	$436.52	$831.76