Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $195.22 / $247.20	Facility		$25.99	$195.22	$247.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $84.16 / $144.04	Professional		$25.99	$84.16	$144.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $137.72 / $154.00 / $154.00	Professional	50	$137.72	$154.00	$154.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $157.66 / $157.66	Professional		$157.66	$157.66	$157.66
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 $27.23 / $61.88 / $168.75	Professional		$27.23	$61.88	$168.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.04 / $97.04 / $97.04	Facility		$97.04	$97.04	$97.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $121.00 / $253.16	Professional		$53.97	$121.00	$253.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $128.84 / $262.88	Facility		$29.89	$128.84	$262.88
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $297.60 / $297.60 / $297.60	Facility	50	$297.60	$297.60	$297.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $165.05 / $324.12	Professional		$110.29	$165.05	$324.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $121.63 / $240.20	Facility		$67.48	$121.63	$240.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $118.29 / $240.20	Professional		$53.97	$118.29	$240.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $55.91 / $176.42	Professional		$29.07	$55.91	$176.42
United Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $268.14 / $4,317.00	Facility		$196.44	$268.14	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $169.68 / $217.39	Professional		$110.29	$169.68	$217.39