Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $240.00 / $429.24	Facility		$61.17	$240.00	$429.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $465.50 / $465.50 / $465.50	Facility	50	$465.50	$465.50	$465.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $64.54 / $206.82	Professional		$36.72	$64.54	$206.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $63.42 / $92.18	Professional		$35.11	$63.42	$92.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.75 / $546.83 / $1,057.75	Facility		$415.75	$546.83	$1,057.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $75.68 / $127.78	Professional		$39.17	$75.68	$127.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $122.02 / $184.51	Professional		$67.68	$122.02	$184.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $107.05 / $291.00	Facility		$48.39	$107.05	$291.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $130.76 / $299.44	Professional		$77.09	$130.76	$299.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $125.89 / $184.51	Facility		$90.39	$125.89	$184.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $122.02 / $172.13	Professional		$80.33	$122.02	$172.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $75.67 / $135.04	Professional		$42.39	$75.67	$135.04
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 $64.70 / $107.96 / $158.00	Professional		$64.70	$107.96	$158.00