Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $562.34 / $8,511.38	Facility		$72.44	$562.34	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $676.08 / $2,041.74	Facility	50	$676.08	$676.08	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $204.17	Professional		$35.48	$74.13	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $158.49 / $436.52	Professional	50	$70.79	$158.49	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $100.00	Professional		$38.02	$53.70	$100.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $95.50 / $138.04	Professional	50	$47.86	$95.50	$138.04
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 $40.74 / $64.57 / $100.00	Professional		$40.74	$64.57	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $158.49	Professional		$51.29	$93.33	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $467.74	Facility		$42.66	$83.18	$467.74
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	50	$912.01	$912.01	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $263.03	Professional		$52.48	$100.00	$263.03
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $102.33 / $158.49	Professional	50	$69.18	$102.33	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $141.25	Professional		$81.28	$109.65	$141.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $162.18	Professional		$77.62	$109.65	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $117.49	Professional		$33.88	$61.66	$117.49
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 $44.67 / $75.86 / $123.03	Professional		$44.67	$75.86	$123.03