Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.79 / $3,398.27 / $11,995.87	Facility		$179.79	$3,398.27	$11,995.87
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $73.59 / $73.59 / $87.98	Facility	54	$73.59	$73.59	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $209.85 / $448.00	Professional		$98.13	$209.85	$448.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $194.82 / $279.23	Professional		$104.28	$194.82	$279.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,651.58 / $3,194.68	Facility		$1,255.69	$1,651.58	$3,194.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $177.90 / $239.59	Professional		$104.55	$177.90	$239.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $268.25 / $371.05	Professional		$94.17	$268.25	$371.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.25 / $222.89 / $964.22	Facility		$114.25	$222.89	$964.22
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $343.32 / $343.32 / $343.32	Facility	54	$343.32	$343.32	$343.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $252.84 / $950.56	Professional		$143.50	$252.84	$950.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.44 / $227.99 / $321.20	Facility		$137.44	$227.99	$321.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $238.36 / $329.67	Professional		$173.00	$238.36	$329.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $166.31 / $257.85	Professional		$113.26	$166.31	$257.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $238.15 / $296.79	Professional		$143.50	$238.15	$296.79