Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.05 / $686.05 / $686.05	Facility		$686.05	$686.05	$686.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.03 / $686.05 / $890.84	Professional		$580.03	$686.05	$890.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $806.84 / $806.84 / $806.84	Professional		$806.84	$806.84	$806.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.50 / $1,040.05 / $1,050.56	Professional		$945.50	$1,040.05	$1,050.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $1,183.35 / $1,183.35	Facility		$702.03	$1,183.35	$1,183.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.03 / $1,183.35 / $1,824.78	Professional		$702.03	$1,183.35	$1,824.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $1,170.31 / $5,034.28	Facility		$541.62	$1,170.31	$5,034.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.23 / $536.70 / $894.50	Professional		$371.23	$536.70	$894.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,179.91 / $1,183.35 / $1,491.00	Facility		$1,179.91	$1,183.35	$1,491.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,056.00 / $1,398.51 / $2,437.92	Professional		$1,056.00	$1,398.51	$2,437.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.08 / $1,181.00 / $2,194.59	Professional		$1,081.08	$1,181.00	$2,194.59
United Facility/Professional Professional Modifier Low / Median / High Price $389.10 / $536.70 / $727.02	Professional		$389.10	$536.70	$727.02