Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $3,908.01 / $11,100.08	Facility		$513.00	$3,908.01	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $103.51 / $262.25	Professional		$47.20	$103.51	$262.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $130.00 / $150.00	Professional		$97.13	$130.00	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,608.94 / $2,180.53 / $4,093.41	Facility		$1,608.94	$2,180.53	$4,093.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $101.17 / $205.97	Professional		$48.75	$101.17	$205.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.97 / $177.99 / $314.56	Professional		$112.97	$177.99	$314.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $151.33 / $1,709.11	Facility		$60.18	$151.33	$1,709.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $191.46 / $822.08	Professional		$114.26	$191.46	$822.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.05 / $194.21 / $295.83	Facility		$97.05	$194.21	$295.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $155.37 / $277.76	Professional		$98.24	$155.37	$277.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $109.50 / $299.30	Professional		$3.00	$109.50	$299.30
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 $116.86 / $201.72 / $261.88	Professional		$116.86	$201.72	$261.88