Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $3,908.01 / $13,841.56	Facility		$82.94	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $82.94 / $246.46	Professional		$47.98	$82.94	$246.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.71 / $109.71 / $175.00	Professional	50	$109.71	$109.71	$175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $64.76 / $195.39	Professional		$64.76	$64.76	$195.39
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 $50.49 / $97.54 / $170.38	Professional		$50.49	$97.54	$170.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $76.17 / $76.17	Facility		$76.17	$76.17	$76.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $158.51 / $235.53	Professional		$94.12	$158.51	$235.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $123.16 / $236.15	Facility		$56.66	$123.16	$236.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $165.51 / $386.24	Professional		$103.36	$165.51	$386.24
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $256.86 / $256.86 / $256.86	Professional	50	$256.86	$256.86	$256.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $129.69 / $224.58	Facility		$85.37	$129.69	$224.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $160.13 / $235.53	Professional		$107.22	$160.13	$235.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $95.84 / $178.03	Professional		$50.84	$95.84	$178.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $165.51 / $215.65	Professional		$103.36	$165.51	$215.65