Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.87 / $3,398.27 / $12,765.09	Facility		$80.87	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $30.68 / $96.52	Professional		$6.26	$30.68	$96.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.99 / $3.16 / $5.65	Professional	52	$0.99	$3.16	$5.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $12.30 / $14.72	Professional		$8.24	$12.30	$14.72
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 $2.06 / $4.69 / $12.60	Professional		$2.06	$4.69	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $8.71 / $15.84	Professional		$4.67	$8.71	$15.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $11.04 / $50.00	Facility		$3.09	$11.04	$50.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $13.87 / $26.07	Professional		$7.19	$13.87	$26.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $12.55 / $16.94	Facility		$4.67	$12.55	$16.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $11.00 / $19.00	Professional		$4.67	$11.00	$19.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $4.25 / $13.41	Professional		$2.21	$4.25	$13.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $13.18 / $17.19	Professional		$7.19	$13.18	$17.19