Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $3,398.27 / $12,765.09	Facility		$53.55	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $69.61 / $252.00	Professional		$35.92	$69.61	$252.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.00 / $194.94 / $204.59	Professional	50	$173.00	$194.94	$204.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $77.61 / $126.07	Professional		$39.36	$77.61	$126.07
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 $37.63 / $71.39 / $109.09	Professional		$37.63	$71.39	$109.09
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 $72.64 / $107.92 / $156.15	Professional		$72.64	$107.92	$156.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $90.50 / $258.50	Facility		$42.05	$90.50	$258.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $114.64 / $287.44	Professional		$68.77	$114.64	$287.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $103.22 / $145.32	Facility		$48.08	$103.22	$145.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $115.28 / $151.90	Professional		$83.70	$115.28	$151.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $66.47 / $114.69	Professional		$37.27	$66.47	$114.69
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 $68.77 / $117.44 / $148.12	Professional		$68.77	$117.44	$148.12