Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.89 / $3,908.01 / $13,841.56	Facility		$298.89	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $96.22 / $157.90	Professional		$38.36	$96.22	$157.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $116.33 / $116.33	Professional		$116.33	$116.33	$116.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.98 / $3,152.30 / $5,917.66	Facility		$2,325.98	$3,152.30	$5,917.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $90.45 / $193.25	Professional		$40.56	$90.45	$193.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $169.40 / $333.72	Professional		$96.27	$169.40	$333.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $144.33 / $514.67	Facility		$57.56	$144.33	$514.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $189.93 / $765.52	Professional		$98.15	$189.93	$765.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.27 / $146.30 / $240.04	Facility		$102.27	$146.30	$240.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $141.30 / $240.04	Professional		$95.69	$141.30	$240.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $101.30 / $285.39	Professional		$3.00	$101.30	$285.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $189.93 / $245.28	Professional		$105.86	$189.93	$245.28