Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,548.13 / $8,511.38	Facility		$309.03	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $363.08 / $831.76	Professional		$138.04	$363.08	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
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 $169.82 / $316.23 / $691.83	Professional		$169.82	$316.23	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $851.14	Professional		$190.55	$416.87	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $457.09 / $5,248.07	Facility		$173.78	$457.09	$5,248.07
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	53	$138.04	$138.04	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $2,691.53	Professional		$389.05	$616.60	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $851.14	Professional		$346.74	$676.08	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $741.31	Professional		$323.59	$323.59	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $371.54 / $1,000.00	Professional		$3.98	$371.54	$1,000.00
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 $208.93 / $380.19 / $794.33	Professional		$208.93	$380.19	$794.33