Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,344.23 / $8,511.38	Facility		$371.54	$2,344.23	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $3,090.30 / $7,244.36	Facility	50	$758.58	$3,090.30	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $954.99	Professional		$181.97	$354.81	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $954.99 / $2,511.89	Professional	50	$512.86	$954.99	$2,511.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $169.82 / $288.40	Professional	50	$100.00	$169.82	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,128.31 / $16,595.87	Facility		$6,456.54	$8,128.31	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $575.44	Professional		$204.17	$331.13	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $870.96	Professional		$218.78	$446.68	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $5,370.32	Facility		$208.93	$524.81	$5,370.32
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.93 / $3,467.37 / $6,606.93	Facility	50	$0.93	$3,467.37	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $3,801.89	Professional		$371.54	$630.96	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $794.33	Professional		$407.38	$630.96	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $10,715.19	Facility		$9,120.11	$9,120.11	$10,715.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $467.74 / $1,047.13	Professional		$5.01	$467.74	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $8,128.31	Facility		$3,630.78	$5,011.87	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $707.95	Professional		$239.88	$416.87	$707.95