Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,801.89 / $12,589.25	Facility		$512.86	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $346.74 / $812.83	Professional		$154.88	$346.74	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $436.52	Professional		$186.21	$229.09	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,202.26	Facility		$467.74	$616.60	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $457.09	Professional		$165.96	$295.12	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $380.19 / $741.31	Professional		$169.82	$380.19	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $4,365.16	Facility		$154.88	$275.42	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $1,905.46	Professional		$229.09	$371.54	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $588.84	Professional		$309.03	$436.52	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $562.34	Professional		$371.54	$371.54	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $691.83	Professional		$158.49	$371.54	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $3,715.35 / $13,803.84	Facility		$128.82	$3,715.35	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $501.19	Professional		$181.97	$295.12	$501.19