Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $724.44 / $7,943.28	Facility		$74.13	$724.44	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $416.87 / $537.03 / $537.03	Facility	50	$416.87	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $208.93	Professional		$37.15	$67.61	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $169.82 / $407.38	Professional	50	$77.62	$169.82	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $91.20	Professional		$33.11	$51.29	$91.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $109.65 / $177.83	Professional	50	$97.72	$109.65	$177.83
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 $41.69 / $66.07 / $102.33	Professional		$41.69	$66.07	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $162.18	Professional		$53.70	$97.72	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $489.78	Facility		$45.71	$87.10	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $281.84	Professional		$56.23	$104.71	$281.84
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $158.49 / $190.55	Professional	50	$79.43	$158.49	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $147.91	Professional		$85.11	$114.82	$147.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $169.82	Professional		$81.28	$114.82	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $120.23	Professional		$33.88	$63.10	$120.23
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 $45.71 / $77.62 / $128.82	Professional		$45.71	$77.62	$128.82