Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,801.89 / $12,589.25	Facility		$489.78	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $602.56	Professional		$77.62	$190.55	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $416.87	Professional		$120.23	$134.90	$416.87
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 $97.72 / $190.55 / $446.68	Professional		$97.72	$190.55	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $407.38 / $676.08	Professional		$123.03	$407.38	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $281.84 / $1,096.48	Facility		$102.33	$281.84	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $1,995.26	Professional		$234.42	$380.19	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $426.58 / $588.84	Professional		$162.18	$426.58	$588.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $724.44	Professional		$190.55	$263.03	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $489.78	Professional		$79.43	$186.21	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $6,309.57	Facility		$1,096.48	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $229.09 / $512.86	Professional		$102.33	$229.09	$512.86