Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,265.80 / $8,511.38	Facility		$524.81	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $1,174.90	Professional		$239.88	$501.19	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $691.83	Professional		$218.78	$323.59	$691.83
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 $245.47 / $416.87 / $588.84	Professional		$245.47	$416.87	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $870.96	Professional		$257.04	$575.44	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $489.78 / $5,248.07	Facility		$281.84	$489.78	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $2,238.72	Professional		$363.08	$549.54	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $794.33	Professional		$562.34	$630.96	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $660.69	Professional		$562.34	$562.34	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,079.46	Facility		$6,025.60	$6,025.60	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $457.09 / $794.33	Professional		$3.02	$457.09	$794.33
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 $338.84 / $501.19 / $707.95	Professional		$338.84	$501.19	$707.95