Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,187.76 / $8,511.38	Facility		$676.08	$2,187.76	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $2,754.23 / $3,801.89	Facility	50	$1,949.84	$2,754.23	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $1,148.15	Professional		$100.00	$239.88	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $588.84 / $1,737.80	Professional	50	$263.03	$588.84	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $234.42	Professional		$85.11	$151.36	$234.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $251.19 / $537.03	Professional	50	$134.90	$251.19	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,801.89	Facility		$1,513.56	$1,949.84	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $371.54	Professional		$120.23	$199.53	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $575.44	Professional		$190.55	$331.13	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $281.84 / $1,479.11	Facility		$128.82	$281.84	$1,479.11
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	50	$1,949.84	$1,949.84	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $1,023.29	Professional		$218.78	$389.05	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $549.54	Professional		$229.09	$363.08	$549.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $588.84	Professional		$234.42	$323.59	$588.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,079.46	Facility		$6,025.60	$6,025.60	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $6,309.57	Facility		$1,096.48	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $467.74	Professional		$131.83	$245.47	$467.74