Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $2,137.96	Facility		$602.56	$758.58	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $512.86	Professional		$218.78	$251.19	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $891.25	Professional		$346.74	$346.74	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $1,584.89	Facility		$457.09	$602.56	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $512.86	Professional		$257.04	$398.11	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $676.08	Professional		$426.58	$524.81	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $489.78 / $2,187.76	Facility		$162.18	$489.78	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $1,548.82	Professional		$194.98	$363.08	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $758.58	Professional		$426.58	$501.19	$758.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $524.81	Professional		$489.78	$489.78	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Facility		$1,479.11	$1,479.11	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $724.44 / $933.25	Facility		$199.53	$724.44	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $616.60	Professional		$204.17	$380.19	$616.60