Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $3,795.64 / $13,841.56	Facility		$74.95	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $185.18 / $185.18 / $185.18	Facility	50	$185.18	$185.18	$185.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $74.95 / $340.00	Professional		$51.44	$74.95	$340.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.37 / $251.66 / $492.00	Professional	50	$168.37	$251.66	$492.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $97.64 / $97.64	Professional		$46.31	$97.64	$97.64
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $228.25 / $228.25 / $228.25	Professional	50	$228.25	$228.25	$228.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.13 / $902.45 / $1,745.64	Facility		$686.13	$902.45	$1,745.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $102.12 / $153.93	Professional		$54.32	$102.12	$153.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $67.94 / $67.94	Facility		$67.94	$67.94	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $157.96 / $236.65	Professional		$99.93	$157.96	$236.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $97.74 / $258.85	Facility		$59.16	$97.74	$258.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $155.97 / $417.12	Professional		$95.23	$155.97	$417.12
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $72.03 / $186.02 / $306.62	Professional	50	$72.03	$186.02	$306.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $142.91 / $207.77	Facility		$74.73	$142.91	$207.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $151.63 / $207.77	Professional		$108.61	$151.63	$207.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $97.07 / $160.28	Professional		$55.55	$97.07	$160.28
United Facility/Professional Facility Modifier Low / Median / High Price $367.48 / $501.62 / $4,317.00	Facility		$367.48	$501.62	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $157.49 / $203.22	Professional		$95.23	$157.49	$203.22