Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $3,795.64 / $13,841.56	Facility		$76.55	$3,795.64	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $76.55 / $185.75	Professional		$42.52	$76.55	$185.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $243.45 / $244.86	Professional	50	$99.29	$243.45	$244.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $178.50 / $180.70	Professional		$90.35	$178.50	$180.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.98 / $1,607.24 / $3,108.92	Facility		$1,221.98	$1,607.24	$3,108.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $86.25 / $157.19	Professional		$44.64	$86.25	$157.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $72.30 / $72.30	Facility		$72.30	$72.30	$72.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $142.09 / $213.57	Professional		$82.23	$142.09	$213.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $111.42 / $210.41	Facility		$50.42	$111.42	$210.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $154.93 / $340.80	Professional		$93.68	$154.93	$340.80
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $303.50 / $303.50 / $303.50	Professional	50	$303.50	$303.50	$303.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $116.16 / $207.77	Facility		$81.05	$116.16	$207.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $142.09 / $213.57	Professional		$93.74	$142.09	$213.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $86.77 / $164.63	Professional		$45.36	$86.77	$164.63
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 $93.68 / $159.97 / $197.73	Professional		$93.68	$159.97	$197.73