Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $691.83 / $8,511.38	Facility		$114.82	$691.83	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $281.84 / $457.09 / $9,549.93	Facility	50	$281.84	$457.09	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $380.19	Professional		$56.23	$147.91	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $275.42 / $562.34	Professional	50	$181.97	$275.42	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $194.98	Professional		$51.29	$91.20	$194.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	50	$489.78	$489.78	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,348.96	Facility		$524.81	$691.83	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $288.40	Professional		$63.10	$125.89	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $154.88 / $398.11	Professional		$58.88	$154.88	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $1,230.27	Facility		$66.07	$190.55	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $1,148.15	Professional		$173.78	$257.04	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $398.11	Professional		$128.82	$309.03	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $338.84	Professional		$120.23	$120.23	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $162.18 / $426.58	Professional		$5.01	$162.18	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,230.27 / $4,466.84	Facility		$165.96	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $354.81	Professional		$77.62	$154.88	$354.81