Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $3,588.88 / $13,841.56	Facility		$92.04	$3,588.88	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $862.08 / $862.08 / $862.08	Facility	50	$862.08	$862.08	$862.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $96.06 / $387.00	Professional		$54.60	$96.06	$387.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $139.41 / $307.72 / $609.00	Professional	50	$139.41	$307.72	$609.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $214.84 / $214.84	Professional		$71.20	$214.84	$214.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $126.02 / $322.25 / $339.69	Professional	50	$126.02	$322.25	$339.69
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 $57.18 / $110.45 / $187.69	Professional		$57.18	$110.45	$187.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $83.46 / $83.46	Facility		$83.46	$83.46	$83.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $181.77 / $263.70	Professional		$111.11	$181.77	$263.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $140.84 / $367.48	Facility		$63.98	$140.84	$367.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $195.30 / $437.52	Professional		$115.14	$195.30	$437.52
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $204.60 / $310.91 / $353.30	Professional	50	$204.60	$310.91	$353.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $150.13 / $252.21	Facility		$94.00	$150.13	$252.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $181.77 / $263.70	Professional		$126.72	$181.77	$263.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $109.19 / $196.64	Professional		$57.77	$109.19	$196.64
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 $115.14 / $189.20 / $246.52	Professional		$115.14	$189.20	$246.52