Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.38 / $2,779.91 / $8,477.27	Facility		$229.38	$2,779.91	$8,477.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $708.70 / $2,492.40 / $3,611.00	Facility	50	$708.70	$2,492.40	$3,611.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.57 / $45.88 / $2,052.00	Facility	53	$20.57	$45.88	$2,052.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $262.63 / $590.42	Professional		$102.84	$262.63	$590.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.05 / $650.47 / $769.26	Professional	50	$151.05	$650.47	$769.26
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.57 / $45.88 / $118.09	Professional	53	$20.57	$45.88	$118.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $201.40 / $743.88	Professional		$100.70	$201.40	$743.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $678.32 / $1,115.82 / $1,115.82	Professional	50	$678.32	$1,115.82	$1,115.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,507.81 / $1,983.18 / $3,836.12	Facility		$1,507.81	$1,983.18	$3,836.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $230.09 / $467.88	Professional		$128.37	$230.09	$467.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.91 / $716.91 / $716.91	Facility		$716.91	$716.91	$716.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $480.14 / $712.88	Professional		$217.25	$480.14	$712.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.49 / $389.95 / $2,093.00	Facility		$135.49	$389.95	$2,093.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $272.14 / $514.79 / $2,071.09	Facility	50	$272.14	$514.79	$2,071.09
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $100.82 / $100.82 / $100.82	Facility	53	$100.82	$100.82	$100.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.07 / $460.26 / $1,052.00	Professional		$283.07	$460.26	$1,052.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.53 / $546.42 / $955.88	Facility		$255.53	$546.42	$955.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.35 / $446.15 / $641.55	Professional		$242.35	$446.15	$641.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $244.67 / $948.71	Professional		$107.48	$244.67	$948.71
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 $289.77 / $501.35 / $599.70	Professional		$289.77	$501.35	$599.70