Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,778.28 / $7,943.28	Facility		$512.86	$1,778.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $363.08 / $831.76	Professional		$102.33	$363.08	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $257.04	Professional		$91.20	$177.83	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,801.89	Facility		$1,513.56	$1,949.84	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $501.19	Professional		$123.03	$234.42	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $724.44	Professional		$199.53	$309.03	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $407.38 / $2,089.30	Facility		$131.83	$407.38	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $977.24	Professional		$257.04	$489.78	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $724.44	Professional		$245.47	$489.78	$724.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $831.76	Professional		$239.88	$331.13	$831.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
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 $134.90 / $288.40 / $616.60	Professional		$134.90	$288.40	$616.60