Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $156.35 / $617.20	Facility		$27.15	$156.35	$617.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $194.17 / $194.17 / $759.82	Facility	50	$194.17	$194.17	$759.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $48.96 / $118.80	Professional		$24.23	$48.96	$118.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.50 / $168.97 / $355.50	Professional	50	$31.50	$168.97	$355.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Professional		$53.53	$53.53	$53.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $152.13 / $152.13 / $152.13	Professional	50	$152.13	$152.13	$152.13
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 $25.44 / $56.04 / $120.75	Professional		$25.44	$56.04	$120.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $83.13 / $180.00	Professional		$56.77	$83.13	$180.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $82.54 / $233.60	Facility		$30.29	$82.54	$233.60
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $769.41 / $769.41 / $769.41	Facility	50	$769.41	$769.41	$769.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $115.11 / $243.01	Professional		$72.42	$115.11	$243.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $83.01 / $165.50	Facility		$61.21	$83.01	$165.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $92.00 / $169.34	Professional		$56.77	$92.00	$169.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $52.70 / $126.79	Professional		$27.40	$52.70	$126.79
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 $76.73 / $109.12 / $151.29	Professional		$76.73	$109.12	$151.29