Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $5,011.87 / $12,589.25	Facility		$436.52	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $977.24	Professional		$125.89	$223.87	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $147.91	Professional		$112.20	$112.20	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $9,120.11	Facility		$3,548.13	$4,677.35	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $398.11	Professional		$158.49	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $616.60	Professional		$138.04	$323.59	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $1,230.27	Facility		$151.36	$302.00	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,621.81	Professional		$275.42	$426.58	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $616.60	Professional		$309.03	$467.74	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $467.74	Professional		$302.00	$302.00	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $177.83 / $588.84	Professional		$5.01	$177.83	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $4,466.84	Facility		$676.08	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $512.86	Professional		$177.83	$302.00	$512.86