Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.06 / $3,908.01 / $13,841.56	Facility		$867.06	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $275.82 / $834.90	Professional		$95.90	$275.82	$834.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $153.56 / $153.56 / $153.56	Professional	50	$153.56	$153.56	$153.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $137.78 / $137.78 / $137.78	Professional	50	$137.78	$137.78	$137.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.41 / $1,792.20 / $3,364.42	Facility		$1,322.41	$1,792.20	$3,364.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $228.97 / $993.94	Professional		$100.75	$228.97	$993.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $685.48 / $1,434.23	Professional		$199.74	$685.48	$1,434.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $664.05 / $1,064.71	Facility		$137.76	$664.05	$1,064.71
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,056.00 / $2,056.00 / $3,750.00	Facility	50	$2,056.00	$2,056.00	$3,750.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.46 / $1,092.00 / $4,525.52	Professional		$639.46	$1,092.00	$4,525.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.28 / $979.16 / $1,434.23	Facility		$252.28	$979.16	$1,434.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $936.08 / $1,410.17	Professional		$229.97	$936.08	$1,410.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $206.66 / $1,010.21	Professional		$107.46	$206.66	$1,010.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.46 / $1,065.52 / $1,341.91	Professional		$639.46	$1,065.52	$1,341.91