Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,187.76 / $8,511.38	Facility		$117.49	$2,187.76	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $251.19	Professional		$57.54	$114.82	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $79.43 / $416.87	Professional	50	$75.86	$79.43	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
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 $67.61 / $109.65 / $190.55	Professional		$67.61	$109.65	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $302.00	Professional		$104.71	$190.55	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $147.91 / $870.96	Facility		$72.44	$147.91	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $1,348.96	Professional		$117.49	$229.09	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $302.00	Professional		$128.82	$181.97	$302.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $302.00	Professional		$128.82	$181.97	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $218.78	Professional		$54.95	$109.65	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $6,309.57	Facility		$870.96	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $251.19	Professional		$74.13	$134.90	$251.19