Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $896.47 / $11,995.87	Facility		$50.87	$896.47	$11,995.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $414.54 / $534.46 / $554.60	Facility	50	$414.54	$534.46	$554.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $56.05 / $186.30	Professional		$33.86	$56.05	$186.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.60 / $164.43 / $376.50	Professional	50	$84.60	$164.43	$376.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $73.77 / $119.83	Professional		$39.03	$73.77	$119.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.08 / $152.69 / $179.75	Professional	50	$70.08	$152.69	$179.75
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 $35.79 / $67.64 / $104.31	Professional		$35.79	$67.64	$104.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Facility		$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $107.06 / $146.38	Professional		$70.43	$107.06	$146.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $86.48 / $367.48	Facility		$42.33	$86.48	$367.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $104.77 / $279.00	Professional		$63.78	$104.77	$279.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $79.81 / $157.59 / $189.30	Professional	50	$79.81	$157.59	$189.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $97.83 / $139.31	Facility		$48.08	$97.83	$139.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $102.77 / $143.88	Professional		$76.53	$102.77	$143.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $63.76 / $108.04	Professional		$35.72	$63.76	$108.04
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 $63.78 / $103.00 / $134.21	Professional		$63.78	$103.00	$134.21