Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.51 / $3,489.13 / $12,036.14	Facility		$101.51	$3,489.13	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.63 / $29.63 / $87.95	Facility	52	$29.63	$29.63	$87.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $175.89 / $881.00	Professional		$59.25	$175.89	$881.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.63 / $87.95 / $242.88	Professional	52	$29.63	$87.95	$242.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $153.38 / $153.38	Professional		$153.38	$153.38	$153.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $715.74 / $1,343.62	Facility		$528.12	$715.74	$1,343.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $142.03 / $353.04	Professional		$62.49	$142.03	$353.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $347.79 / $572.94	Professional		$143.35	$347.79	$572.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.54 / $225.60 / $477.48	Facility		$75.54	$225.60	$477.48
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $233.74 / $233.74	Facility	52	$233.74	$233.74	$233.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $446.90 / $1,386.56	Professional		$252.59	$446.90	$1,386.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.63 / $245.43 / $511.62	Facility		$148.63	$245.43	$511.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $340.27 / $513.95	Professional		$140.47	$340.27	$513.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $163.19 / $513.00	Professional		$5.00	$163.19	$513.00
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,242.00 / $4,406.00	Facility		$151.36	$1,242.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $424.56 / $545.47	Professional		$252.59	$424.56	$545.47