Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $12,589.25	Facility		$2,041.74	$4,073.80	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $323.59	Professional		$67.61	$147.91	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $147.91	Professional		$64.57	$72.44	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,248.07 / $10,232.93	Facility		$3,981.07	$5,248.07	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $151.36	Professional		$66.07	$112.20	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $229.09	Professional		$77.62	$165.96	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $144.54 / $4,365.16	Facility		$69.18	$144.54	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $1,995.26	Professional		$95.50	$154.88	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $234.42	Professional		$162.18	$173.78	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $147.91 / $186.21	Professional		$46.77	$147.91	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $13,803.84	Facility		$3,235.94	$4,570.88	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $190.55	Professional		$97.72	$144.54	$190.55