Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $489.78 / $1,288.25	Facility		$102.33	$489.78	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $794.33	Professional		$81.28	$223.87	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $229.09 / $346.74	Professional		$61.66	$229.09	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $977.24	Facility		$380.19	$501.19	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $154.88 / $158.49	Professional		$151.36	$154.88	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $363.08	Professional		$128.82	$158.49	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $331.13	Facility		$81.28	$158.49	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $128.82	Professional		$85.11	$85.11	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $363.08	Professional		$165.96	$234.42	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,073.80	Facility		$3,467.37	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $416.87	Facility		$112.20	$158.49	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $102.33	Professional		$81.28	$85.11	$102.33