Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.18 / $1,506.15 / $12,036.14	Facility		$103.18	$1,506.15	$12,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $150.10 / $245.68	Professional		$61.42	$150.10	$245.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.21 / $53.02 / $178.61	Professional	52	$31.21	$53.02	$178.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $198.00 / $210.30	Professional		$92.40	$198.00	$210.30
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 $67.81 / $128.65 / $212.52	Professional		$67.81	$128.65	$212.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $204.02 / $315.98	Professional		$90.80	$204.02	$315.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $152.50 / $1,242.00	Facility		$75.25	$152.50	$1,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $224.75 / $288.22	Professional		$131.63	$224.75	$288.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $204.02 / $297.20	Facility		$152.10	$204.02	$297.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $203.35 / $297.20	Professional		$134.44	$203.35	$297.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $127.87 / $228.47	Professional		$73.34	$127.87	$228.47
United Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $1,242.00 / $4,406.00	Facility		$154.91	$1,242.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $231.92 / $268.27	Professional		$131.63	$231.92	$268.27