Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,154.27 / $7,943.37 / $21,899.37	Facility		$2,154.27	$7,943.37	$21,899.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $463.15 / $1,368.93	Professional		$180.78	$463.15	$1,368.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.79 / $362.79 / $362.79	Professional		$362.79	$362.79	$362.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,619.76 / $8,706.79 / $16,841.75	Facility		$6,619.76	$8,706.79	$16,841.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $297.08 / $396.12	Professional		$174.28	$297.08	$396.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.92 / $436.30 / $647.61	Professional		$350.92	$436.30	$647.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $334.44 / $1,580.21	Facility		$180.78	$334.44	$1,580.21
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $314.61 / $598.89 / $598.89	Facility	62	$314.61	$598.89	$598.89
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $50.34 / $95.82 / $95.82	Facility	AS	$50.34	$95.82	$95.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $407.81 / $555.58	Professional		$246.58	$407.81	$555.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $239.79 / $460.69 / $647.61	Facility		$239.79	$460.69	$647.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $440.03 / $602.26	Professional		$319.00	$440.03	$602.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $329.70 / $394.33	Professional		$189.10	$329.70	$394.33
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 $246.58 / $403.86 / $531.10	Professional		$246.58	$403.86	$531.10