Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $575.44 / $1,230.27	Facility		$173.78	$575.44	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $363.08	Professional		$162.18	$186.21	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $436.52	Professional		$234.42	$245.47	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $1,479.11	Facility		$457.09	$602.56	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $512.86	Professional		$257.04	$302.00	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $707.95	Professional		$323.59	$416.87	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $309.03 / $1,621.81	Facility		$117.49	$309.03	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $1,202.26	Professional		$165.96	$269.15	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $575.44	Professional		$323.59	$380.19	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Professional		$371.54	$371.54	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $575.44	Professional		$489.78	$549.54	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $501.19 / $660.69	Facility		$199.53	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $467.74	Professional		$165.96	$288.40	$467.74