Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.77 / $1,955.39 / $12,036.14	Facility		$69.77	$1,955.39	$12,036.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,189.09 / $1,189.09 / $1,189.09	Facility	50	$1,189.09	$1,189.09	$1,189.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $90.79 / $224.20	Professional		$38.83	$90.79	$224.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.41 / $180.00 / $502.50	Professional	50	$90.41	$180.00	$502.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $91.15 / $122.97	Professional		$48.70	$91.15	$122.97
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 $40.88 / $78.95 / $142.38	Professional		$40.88	$78.95	$142.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $67.94 / $67.94	Facility		$67.94	$67.94	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $140.27 / $223.22	Professional		$81.02	$140.27	$223.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $122.10 / $862.08	Facility		$45.35	$122.10	$862.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $156.74 / $722.00	Professional		$86.55	$156.74	$722.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $121.61 / $222.84	Facility		$76.73	$121.61	$222.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $156.05 / $208.57	Professional		$90.25	$156.05	$208.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $77.77 / $140.78	Professional		$40.77	$77.77	$140.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $159.68 / $201.40	Professional		$93.51	$159.68	$201.40