Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,166.29 / $5,463.36 / $13,841.56	Facility		$2,166.29	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $167.03 / $298.00	Professional		$68.73	$167.03	$298.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $105.39 / $169.12	Professional		$105.39	$105.39	$169.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,020.60 / $5,448.94 / $10,229.04	Facility		$4,020.60	$5,448.94	$10,229.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $112.36 / $149.81	Professional		$65.92	$112.36	$149.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $170.70 / $229.65	Professional		$137.36	$170.70	$229.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $124.40 / $4,317.00	Facility		$68.73	$124.40	$4,317.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $173.91 / $1,995.00	Professional		$96.06	$173.91	$1,995.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.36 / $170.70 / $233.60	Facility		$137.36	$170.70	$233.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $163.76 / $229.65	Professional		$121.00	$163.76	$229.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $136.10 / $187.70	Professional		$46.50	$136.10	$187.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $169.58 / $178.50	Professional		$96.06	$169.58	$178.50