Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.73 / $205.08 / $652.00	Facility		$56.73	$205.08	$652.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $80.55 / $323.14	Professional		$56.73	$80.55	$323.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.60 / $372.60 / $372.60	Professional	50	$372.60	$372.60	$372.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $131.76 / $196.05	Professional		$99.37	$131.76	$196.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $892.29 / $1,725.99	Facility		$678.41	$892.29	$1,725.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $111.34 / $166.99	Professional		$60.43	$111.34	$166.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Facility		$88.31	$88.31	$88.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $180.17 / $246.66	Professional		$100.56	$180.17	$246.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $131.47 / $294.80	Facility		$68.41	$131.47	$294.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $176.00 / $462.56	Professional		$103.06	$176.00	$462.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $163.37 / $237.80	Facility		$97.14	$163.37	$237.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $167.36 / $231.32	Professional		$124.00	$167.36	$231.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $115.16 / $172.88	Professional		$63.36	$115.16	$172.88
United Facility/Professional Facility Modifier Low / Median / High Price $330.60 / $451.30 / $4,317.00	Facility		$330.60	$451.30	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $142.69 / $221.98	Professional		$103.06	$142.69	$221.98