Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.76 / $378.76 / $498.80	Facility		$378.76	$378.76	$498.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $833.35 / $1,808.04	Professional		$300.00	$833.35	$1,808.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $216.83 / $216.83	Professional		$216.83	$216.83	$216.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.64 / $640.54 / $1,202.47	Facility		$472.64	$640.54	$1,202.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.42 / $705.17 / $1,021.51	Professional		$399.42	$705.17	$1,021.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.91 / $1,092.29 / $1,525.09	Professional		$767.91	$1,092.29	$1,525.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $676.10 / $1,970.98	Facility		$379.04	$676.10	$1,970.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.59 / $1,049.85 / $4,085.84	Professional		$513.59	$1,049.85	$4,085.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $757.83 / $1,024.65 / $1,337.96	Facility		$757.83	$1,024.65	$1,337.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $663.85 / $983.90 / $1,337.96	Professional		$663.85	$983.90	$1,337.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $828.80 / $1,005.00 / $1,423.00	Professional		$828.80	$1,005.00	$1,423.00
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 $599.19 / $997.39 / $1,264.68	Professional		$599.19	$997.39	$1,264.68