Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.76 / $5,463.36 / $13,841.56	Facility		$1,097.76	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $250.57 / $393.72	Professional		$68.39	$250.57	$393.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.59 / $234.59 / $234.59	Professional		$234.59	$234.59	$234.59
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 $72.64 / $148.75 / $289.13	Professional		$72.64	$148.75	$289.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $284.83 / $434.35	Professional		$167.29	$284.83	$434.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $214.89 / $1,289.00	Facility		$87.20	$214.89	$1,289.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $329.78 / $1,138.48	Professional		$177.46	$329.78	$1,138.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.22 / $237.16 / $384.46	Facility		$165.22	$237.16	$384.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $249.94 / $385.36	Professional		$165.22	$249.94	$385.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $130.40 / $421.00	Professional		$3.00	$130.40	$421.00
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 $192.15 / $313.30 / $362.45	Professional		$192.15	$313.30	$362.45