Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $60.26 / $204.17	Facility		$14.45	$60.26	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.80 / $75.86	Professional		$7.08	$13.80	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $93.33	Facility		$44.67	$58.88	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $19.05	Professional		$9.33	$17.38	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $27.54	Professional		$11.48	$16.60	$27.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $162.18 / $199.53	Facility		$13.80	$162.18	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $21.38	Professional		$4.79	$6.92	$21.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $29.51	Professional		$14.13	$23.99	$29.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.47 / $21.38	Facility		$5.25	$10.47	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $12.59	Professional		$5.75	$6.92	$12.59