Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.35 / $176.35 / $959.85	Facility		$176.35	$176.35	$959.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $176.35 / $248.39	Professional		$157.46	$176.35	$248.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $303.07 / $303.07	Professional		$135.00	$303.07	$303.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,824.54 / $2,472.71 / $4,641.93	Facility		$1,824.54	$2,472.71	$4,641.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $146.41 / $146.41	Professional		$139.09	$146.41	$146.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $305.63 / $438.14	Professional		$156.72	$305.63	$438.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.35 / $299.80 / $448.59	Facility		$176.35	$299.80	$448.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.34 / $343.97 / $1,176.10	Professional		$172.34	$343.97	$1,176.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.29 / $296.45 / $438.14	Facility		$196.29	$296.45	$438.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $292.99 / $453.08	Professional		$196.29	$292.99	$453.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Professional		$199.80	$199.80	$199.80
United Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $329.72 / $492.80	Professional		$169.51	$329.72	$492.80