Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,174.90	Professional		$316.23	$588.84	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Professional		$616.60	$616.60	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $602.56	Professional		$537.03	$588.84	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $912.01	Facility		$616.60	$645.65	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,548.82	Professional		$616.60	$891.25	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $776.25 / $3,019.95	Facility		$446.68	$776.25	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $891.25	Professional		$309.03	$512.86	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,995.26	Professional		$891.25	$891.25	$1,995.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $1,995.26	Professional		$1,202.26	$1,995.26	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,348.96	Professional		$630.96	$831.76	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $794.33	Facility		$363.08	$549.54	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $741.31	Professional		$309.03	$457.09	$741.31