Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.87 / $377.05 / $1,082.40	Facility		$112.87	$377.05	$1,082.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $112.87 / $584.00	Professional		$98.65	$112.87	$584.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $274.41 / $274.41	Professional		$274.41	$274.41	$274.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.82 / $342.64 / $643.22	Facility		$252.82	$342.64	$643.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $225.74 / $232.59	Professional		$210.15	$225.74	$232.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.00 / $326.00 / $669.60	Facility		$326.00	$326.00	$669.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $245.84 / $394.64	Professional		$120.48	$245.84	$394.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.62 / $203.17 / $570.73	Facility		$112.62	$203.17	$570.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $249.12 / $740.76	Professional		$150.35	$249.12	$740.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $245.84 / $474.22	Facility		$199.00	$245.84	$474.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $229.90 / $306.91	Professional		$173.00	$229.90	$306.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $282.50 / $324.89	Professional		$158.90	$282.50	$324.89
United Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $163.63 / $206.53	Facility		$81.70	$163.63	$206.53
United Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $256.04 / $326.68	Professional		$150.35	$256.04	$326.68