Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $3,548.13 / $10,964.78	Facility		$91.20	$3,548.13	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	50	$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $309.03	Professional		$66.07	$117.49	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $223.87 / $467.74	Professional	50	$104.71	$223.87	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Professional		$58.88	$58.88	$87.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $97.72 / $131.83	Professional	50	$46.77	$97.72	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,819.70	Facility		$724.44	$933.25	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $138.04	Professional		$52.48	$91.20	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $213.80	Professional		$85.11	$154.88	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $114.82 / $436.52	Facility		$60.26	$114.82	$436.52
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $354.81 / $912.01	Facility	50	$338.84	$354.81	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $1,148.15	Professional		$81.28	$147.91	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $229.09	Professional		$114.82	$162.18	$229.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $234.42	Professional		$112.20	$162.18	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $169.82	Professional		$52.48	$93.33	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $4,466.84	Facility		$380.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $177.83	Professional		$64.57	$112.20	$177.83