Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $18.20 / $75.86	Facility		$8.13	$18.20	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.37 / $23.99	Professional		$2.00	$4.37	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.72 / $4.68	Professional		$1.82	$3.72	$4.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.44 / $38.90	Facility		$14.45	$23.44	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.62 / $6.03	Professional		$2.95	$5.62	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $6.92 / $8.71	Professional		$2.29	$6.92	$8.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.12 / $77.62	Facility		$4.07	$9.12	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.19 / $6.76	Professional		$1.66	$2.19	$6.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
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 $1.66 / $3.31 / $6.76	Facility		$1.66	$3.31	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.19 / $4.07	Professional		$2.09	$2.19	$4.07