Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $2,912.34 / $12,801.18	Facility		$53.55	$2,912.34	$12,801.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $80.22 / $249.00	Professional		$35.92	$80.22	$249.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.91 / $175.36 / $376.50	Professional	50	$74.91	$175.36	$376.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $92.76 / $126.56	Professional		$41.25	$92.76	$126.56
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 $37.74 / $71.59 / $109.31	Professional		$37.74	$71.59	$109.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $43.67 / $43.67	Facility		$43.67	$43.67	$43.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $108.10 / $153.47	Professional		$66.30	$108.10	$153.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $88.36 / $177.14	Facility		$39.00	$88.36	$177.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $110.56 / $157.38	Professional		$67.06	$110.56	$157.38
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $89.47 / $115.77 / $198.17	Professional	50	$89.47	$115.77	$198.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $102.32 / $145.32	Facility		$48.08	$102.32	$145.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.27 / $108.72 / $149.00	Professional		$80.27	$108.72	$149.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $66.92 / $114.32	Professional		$38.17	$66.92	$114.32
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 $67.06 / $115.93 / $144.44	Professional		$67.06	$115.93	$144.44