Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $3,795.64 / $13,841.56	Facility		$104.10	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $37.61 / $37.61 / $2,584.53	Facility	50	$37.61	$37.61	$2,584.53
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.56 / $9.56 / $20.82	Facility	53	$9.56	$9.56	$20.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $104.10 / $267.33	Professional		$47.79	$104.10	$267.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $144.97 / $240.41	Professional	50	$69.93	$144.97	$240.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $82.60 / $203.67	Professional		$82.60	$82.60	$203.67
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 $50.50 / $103.84 / $211.19	Professional		$50.50	$103.84	$211.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $216.73 / $319.43	Professional		$100.10	$216.73	$319.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $171.77 / $545.00	Facility		$55.62	$171.77	$545.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $48.61 / $48.61 / $48.61	Facility	53	$48.61	$48.61	$48.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $211.43 / $526.00	Professional		$127.84	$211.43	$526.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $226.14 / $602.92	Facility		$109.89	$226.14	$602.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $178.21 / $285.43	Professional		$107.28	$178.21	$285.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $98.50 / $206.91	Professional		$48.50	$98.50	$206.91
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 $127.84 / $196.68 / $268.89	Professional		$127.84	$196.68	$268.89