Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $9,549.93	Facility		$407.38	$707.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $398.11 / $794.33	Professional		$72.44	$398.11	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $489.78	Professional		$125.89	$269.15	$489.78
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 $371.54 / $380.19 / $389.05	Professional		$371.54	$380.19	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $912.01	Professional		$446.68	$630.96	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $616.60 / $1,659.59	Facility		$239.88	$616.60	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,348.96	Professional		$363.08	$363.08	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $912.01	Professional		$446.68	$630.96	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $954.99	Professional		$912.01	$954.99	$954.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,466.84	Facility		$3,801.89	$3,981.07	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,096.48	Facility		$416.87	$691.83	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $363.08	Professional		$338.84	$363.08	$363.08