Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $536.40 / $5,971.30	Facility		$62.58	$536.40	$5,971.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $251.52 / $431.52 / $1,267.30	Facility	50	$251.52	$431.52	$1,267.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.59 / $20.59 / $29.71	Facility	52	$20.59	$20.59	$29.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $73.84 / $204.30	Professional		$41.17	$73.84	$204.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.75 / $113.86 / $327.00	Professional	50	$61.75	$113.86	$327.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $82.20 / $140.54	Professional		$45.47	$82.20	$140.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $68.20 / $129.78 / $210.81	Professional	50	$68.20	$129.78	$210.81
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 $43.70 / $81.40 / $122.09	Professional		$43.70	$81.40	$122.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $50.46 / $50.46	Facility		$50.46	$50.46	$50.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $125.29 / $185.04	Professional		$82.85	$125.29	$185.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $112.90 / $703.19	Facility		$48.86	$112.90	$703.19
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $163.19 / $370.48 / $1,108.05	Facility	50	$163.19	$370.48	$1,108.05
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $164.70 / $164.70 / $164.70	Facility	52	$164.70	$164.70	$164.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $124.68 / $162.18	Professional		$75.30	$124.68	$162.18
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $121.72 / $171.32 / $218.93	Professional	50	$121.72	$171.32	$218.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $120.27 / $162.13	Facility		$56.18	$120.27	$162.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $122.04 / $165.96	Professional		$91.11	$122.04	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $77.72 / $128.76	Professional		$45.60	$77.72	$128.76
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 $75.30 / $124.53 / $160.71	Professional		$75.30	$124.53	$160.71
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	50	$80.00	$80.00	$80.00