Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.40 / $191.40 / $194.80	Facility		$191.40	$191.40	$194.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.12 / $204.25 / $314.33	Professional		$165.12	$204.25	$314.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.04 / $370.70 / $451.62	Professional		$293.04	$370.70	$451.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.61 / $808.24 / $1,266.95	Facility		$624.61	$808.24	$1,266.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $315.99 / $430.73	Professional		$189.52	$315.99	$430.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.50 / $452.75 / $531.13	Professional		$394.50	$452.75	$531.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.40 / $321.42 / $498.23	Facility		$191.40	$321.42	$498.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $438.20 / $1,279.01	Professional		$334.62	$438.20	$1,279.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $393.11 / $465.30 / $538.91	Facility		$393.11	$465.30	$538.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $404.36 / $465.30 / $542.78	Professional		$404.36	$465.30	$542.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $366.01 / $423.72	Professional		$216.86	$366.01	$423.72
United Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $395.46 / $497.47	Professional		$334.62	$395.46	$497.47