Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $275.42	Facility		$34.67	$109.65	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $91.20	Professional		$8.91	$12.02	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.76 / $7.94	Professional		$5.89	$6.76	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $63.10	Facility		$23.44	$33.88	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $22.39	Professional		$10.96	$20.89	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $26.30 / $32.36	Professional		$8.32	$26.30	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $56.23 / $151.36	Facility		$9.12	$56.23	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $15.14	Professional		$5.75	$8.32	$15.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,380.38	Facility		$1,174.90	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $12.30 / $20.42	Facility		$6.17	$12.30	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.32 / $18.20	Professional		$6.92	$8.32	$18.20