Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.99 / $69.79 / $251.81	Facility		$49.99	$69.79	$251.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $79.78 / $335.00	Professional		$49.99	$79.78	$335.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $234.48 / $289.47	Professional	50	$118.88	$234.48	$289.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $104.36 / $169.51	Professional		$104.36	$104.36	$169.51
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 $53.14 / $97.56 / $144.77	Professional		$53.14	$97.56	$144.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.87 / $69.87 / $69.87	Facility		$69.87	$69.87	$69.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $154.05 / $223.02	Professional		$105.38	$154.05	$223.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $115.15 / $254.92	Facility		$59.52	$115.15	$254.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $157.24 / $450.00	Professional		$92.70	$157.24	$450.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $142.61 / $207.87	Facility		$76.86	$142.61	$207.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $156.00 / $200.34	Professional		$115.15	$156.00	$200.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $94.53 / $152.94	Professional		$62.77	$94.53	$152.94
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 $92.70 / $153.32 / $199.67	Professional		$92.70	$153.32	$199.67