Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $109.65 / $380.19	Facility		$12.59	$109.65	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $40.74 / $251.19	Professional		$12.02	$40.74	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $114.82 / $194.98	Professional		$9.33	$114.82	$194.98
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 $46.77 / $48.98 / $48.98	Professional		$46.77	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $89.13 / $134.90	Professional		$25.12	$89.13	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $100.00 / $371.54	Facility		$15.49	$100.00	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $32.36	Professional		$12.88	$12.88	$32.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $89.13	Professional		$25.12	$38.90	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $134.90	Professional		$87.10	$134.90	$134.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,025.60	Facility		$5,128.61	$5,128.61	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $93.33 / $158.49	Facility		$58.88	$93.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.88 / $15.49	Professional		$12.30	$12.88	$15.49