Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.08 / $3,259.25 / $12,765.09	Facility		$49.08	$3,259.25	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $669.72 / $1,454.03 / $2,062.19	Facility	50	$669.72	$1,454.03	$2,062.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $72.92 / $201.00	Professional		$33.00	$72.92	$201.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.00 / $137.00 / $301.50	Professional	50	$67.00	$137.00	$301.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $30.33 / $117.54	Professional		$21.77	$30.33	$117.54
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 $34.77 / $65.29 / $101.70	Professional		$34.77	$65.29	$101.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $42.69 / $42.69	Facility		$42.69	$42.69	$42.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $104.35 / $153.87	Professional		$68.53	$104.35	$153.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $83.44 / $324.51	Facility		$38.90	$83.44	$324.51
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $908.16 / $908.16 / $908.16	Facility	50	$908.16	$908.16	$908.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $100.00 / $265.92	Professional		$61.56	$100.00	$265.92
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $69.30 / $101.33 / $159.16	Professional	50	$69.30	$101.33	$159.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.01 / $94.25 / $133.31	Facility		$47.01	$94.25	$133.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $95.96 / $138.43	Professional		$72.51	$95.96	$138.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $62.55 / $106.04	Professional		$35.04	$62.55	$106.04
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 $61.56 / $105.12 / $128.94	Professional		$61.56	$105.12	$128.94