Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.78 / $4,241.22 / $12,765.09	Facility		$543.78	$4,241.22	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $291.89 / $538.00	Professional		$120.33	$291.89	$538.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $242.02 / $284.89	Professional		$192.92	$242.02	$284.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.78 / $448.29 / $841.55	Facility		$330.78	$448.29	$841.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $198.41 / $264.56	Professional		$116.41	$198.41	$264.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.59 / $301.47 / $402.79	Professional		$242.59	$301.47	$402.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $284.19 / $1,775.00	Facility		$153.41	$284.19	$1,775.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $537.00 / $537.00 / $2,111.50	Facility	50	$537.00	$537.00	$2,111.50
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $62.22 / $62.22 / $62.22	Facility	AS	$62.22	$62.22	$62.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $284.27 / $987.52	Professional		$164.75	$284.27	$987.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $242.59 / $299.12 / $425.47	Facility		$242.59	$299.12	$425.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $299.12 / $402.79	Professional		$205.30	$299.12	$402.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $187.53 / $287.10	Professional		$44.70	$187.53	$287.10
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 $164.75 / $295.33 / $363.16	Professional		$164.75	$295.33	$363.16