Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $977.24 / $8,511.38	Facility		$131.83	$977.24	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $549.54	Professional		$58.88	$134.90	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $117.49	Professional		$54.95	$72.44	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $12,589.25	Facility		$5,011.87	$6,456.54	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $218.78	Professional		$72.44	$117.49	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $281.84	Professional		$123.03	$165.96	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $186.21 / $1,348.96	Facility		$67.61	$186.21	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $1,096.48	Professional		$100.00	$169.82	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $281.84	Professional		$117.49	$218.78	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $275.42	Professional		$141.25	$165.96	$275.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $14,125.38	Facility		$12,022.64	$12,022.64	$14,125.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $275.42	Professional		$63.10	$134.90	$275.42
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 $66.07 / $125.89 / $245.47	Professional		$66.07	$125.89	$245.47