Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $338.89 / $2,523.94	Facility		$155.41	$338.89	$2,523.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $522.87 / $1,798.57	Professional		$176.45	$522.87	$1,798.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $271.99 / $321.72	Professional		$176.45	$271.99	$321.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $499.38 / $499.38	Facility		$424.47	$499.38	$499.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.74 / $948.82 / $998.75	Professional		$835.74	$948.82	$998.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $258.43 / $344.28	Professional		$176.45	$258.43	$344.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $262.66 / $813.34	Facility		$155.41	$262.66	$813.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $173.02 / $1,526.08	Professional		$155.41	$173.02	$1,526.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.75 / $258.43 / $327.35	Facility		$206.75	$258.43	$327.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $271.19 / $440.39	Professional		$233.13	$271.19	$440.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $218.40 / $516.10	Professional		$199.81	$218.40	$516.10
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $209.98	Professional		$176.45	$176.45	$209.98