Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,479.11 / $8,511.38	Facility		$251.19	$1,479.11	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $1,071.52 / $3,630.78	Facility	50	$1,071.52	$1,071.52	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $144.54 / $537.03	Professional		$56.23	$144.54	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $288.40 / $707.95	Professional	50	$89.13	$288.40	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $128.82	Professional		$46.77	$85.11	$128.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $131.83 / $269.15	Professional	50	$74.13	$131.83	$269.15
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 $67.61 / $112.20 / $190.55	Professional		$67.61	$112.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $288.40	Professional		$95.50	$181.97	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $141.25 / $645.65	Facility		$72.44	$141.25	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $575.44	Professional		$112.20	$194.98	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $275.42	Professional		$128.82	$186.21	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $302.00	Professional		$131.83	$186.21	$302.00
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 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $229.09	Professional		$75.86	$134.90	$229.09