Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.02 / $3,795.64 / $13,841.56	Facility		$102.02	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $318.72 / $318.72 / $318.72	Facility	50	$318.72	$318.72	$318.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $102.02 / $235.80	Professional		$44.47	$102.02	$235.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.55 / $75.55 / $830.88	Professional	50	$75.55	$75.55	$830.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $108.23 / $108.23	Professional		$108.23	$108.23	$108.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.55 / $947.72 / $1,833.19	Facility		$720.55	$947.72	$1,833.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $99.67 / $210.18	Professional		$48.02	$99.67	$210.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $116.94 / $116.94	Facility		$116.94	$116.94	$116.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $201.96 / $345.05	Professional		$100.93	$201.96	$345.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $135.13 / $313.70	Facility		$55.59	$135.13	$313.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $218.47 / $804.00	Professional		$127.93	$218.47	$804.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $169.16 / $305.08	Facility		$116.94	$169.16	$305.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $207.05 / $306.56	Professional		$114.26	$207.05	$306.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $109.99 / $217.38	Professional		$53.26	$109.99	$217.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $229.33 / $265.77	Professional		$127.93	$229.33	$265.77