Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $3,908.01 / $13,841.56	Facility		$46.69	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $46.69 / $196.00	Professional		$31.53	$46.69	$196.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.88 / $137.00 / $160.97	Professional	50	$64.88	$137.00	$160.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $46.22 / $92.44	Professional		$42.05	$46.22	$92.44
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 $33.07 / $62.75 / $95.92	Professional		$33.07	$62.75	$95.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $33.47	Facility		$33.47	$33.47	$33.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $98.44 / $144.13	Professional		$65.58	$98.44	$144.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $73.48 / $149.85	Facility		$36.84	$73.48	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $99.70 / $251.68	Professional		$60.28	$99.70	$251.68
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $45.87 / $56.85 / $85.91	Professional	50	$45.87	$56.85	$85.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $88.87 / $133.31	Facility		$37.27	$88.87	$133.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $95.99 / $129.33	Professional		$68.69	$95.99	$129.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $55.50 / $92.25	Professional		$32.79	$55.50	$92.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $99.50 / $129.84	Professional		$60.28	$99.50	$129.84