Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,801.89 / $12,589.25	Facility		$223.87	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $398.11	Professional		$72.44	$134.90	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,162.28	Facility		$1,230.27	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $204.17	Professional		$74.13	$131.83	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $323.59	Professional		$85.11	$186.21	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $1,778.28	Facility		$91.20	$181.97	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $933.25	Professional		$138.04	$229.09	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $331.13	Professional		$186.21	$239.88	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $245.47	Professional		$165.96	$165.96	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $169.82 / $281.84	Professional		$3.02	$169.82	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $6,309.57	Facility		$870.96	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $257.04	Professional		$107.15	$169.82	$257.04