Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.45 / $4,241.22 / $13,841.56	Facility		$302.45	$4,241.22	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.36 / $302.45 / $1,561.60	Professional		$284.36	$302.45	$1,561.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $722.04 / $722.04 / $722.04	Professional		$722.04	$722.04	$722.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,009.30 / $3,958.05 / $7,656.16	Facility		$3,009.30	$3,958.05	$7,656.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.75 / $500.73 / $667.63	Professional		$293.75	$500.73	$667.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.40 / $1,387.40 / $1,387.40	Facility		$1,387.40	$1,387.40	$1,387.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.46 / $728.60 / $976.77	Professional		$538.46	$728.60	$976.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.45 / $535.08 / $4,217.00	Facility		$302.45	$535.08	$4,217.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $85.41 / $497.27 / $497.27	Facility	AS	$85.41	$497.27	$497.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.22 / $627.12 / $901.88	Professional		$399.22	$627.12	$901.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $813.03 / $1,757.37	Facility		$600.00	$813.03	$1,757.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $651.73 / $976.77	Professional		$492.37	$651.73	$976.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.08 / $583.66 / $1,905.99	Professional		$315.08	$583.66	$1,905.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.22 / $681.74 / $826.44	Professional		$399.22	$681.74	$826.44