Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,388.44 / $8,511.38	Facility		$177.83	$3,388.44	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	50	$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $331.13	Professional		$54.95	$112.20	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $239.88 / $489.78	Professional	50	$114.82	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $134.90	Professional		$35.48	$74.13	$134.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $158.49 / $269.15	Professional	50	$102.33	$158.49	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $1,737.80	Facility		$691.83	$891.25	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $151.36	Professional		$63.10	$100.00	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $239.88	Professional		$81.28	$147.91	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $371.54	Facility		$64.57	$97.72	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $616.60	Professional		$81.28	$147.91	$616.60
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $186.21 / $309.03	Professional	50	$72.44	$186.21	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $218.78	Professional		$131.83	$173.78	$218.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $257.04	Professional		$123.03	$177.83	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $186.21	Professional		$53.70	$97.72	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $4,466.84	Facility		$380.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $190.55	Professional		$69.18	$114.82	$190.55