Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,079.46 / $11,481.54	Facility		$870.96	$7,079.46	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $263.03 / $4,677.35 / $8,128.31	Facility	50	$263.03	$4,677.35	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $1,071.52	Professional		$223.87	$416.87	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $588.84 / $1,862.09	Professional	50	$295.12	$588.84	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $263.03	Professional		$134.90	$134.90	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	50	$177.83	$177.83	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,606.93 / $12,882.50	Facility		$5,128.61	$6,606.93	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $831.76	Professional		$275.42	$457.09	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $1,288.25	Professional		$281.84	$562.34	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $588.84 / $8,709.64	Facility		$281.84	$588.84	$8,709.64
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	50	$11,481.54	$11,481.54	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $4,466.84	Professional		$478.63	$741.31	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,174.90	Professional		$562.34	$933.25	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $954.99	Professional		$524.81	$524.81	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $524.81 / $1,174.90	Professional		$5.01	$524.81	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,456.54 / $9,332.54	Facility		$3,715.35	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,000.00	Professional		$331.13	$562.34	$1,000.00