Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $154.88 / $660.69	Facility		$107.15	$154.88	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $457.09	Professional		$95.50	$199.53	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $467.74	Professional		$177.83	$239.88	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $302.00	Professional		$275.42	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $346.74	Facility		$213.80	$288.40	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $602.56	Professional		$213.80	$363.08	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $1,621.81	Facility		$199.53	$354.81	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $346.74	Professional		$117.49	$208.93	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $776.25	Professional		$338.84	$436.52	$776.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $776.25	Professional		$436.52	$602.56	$776.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $8,511.38	Facility		$977.24	$1,949.84	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $363.08	Facility		$123.03	$181.97	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $245.47	Professional		$109.65	$154.88	$245.47