Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $7,943.28	Facility		$389.05	$2,187.76	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $512.86 / $2,570.40 / $3,630.78	Facility	50	$512.86	$2,570.40	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $501.19	Professional		$87.10	$181.97	$501.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $478.63 / $851.14	Professional	50	$123.03	$478.63	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $389.05	Professional		$77.62	$162.18	$389.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $229.09 / $338.84	Professional	50	$123.03	$229.09	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,801.89	Facility		$1,513.56	$1,905.46	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $346.74	Professional		$104.71	$173.78	$346.74
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 $162.18 / $295.12 / $524.81	Professional		$162.18	$295.12	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $1,905.46	Facility		$109.65	$263.03	$1,905.46
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $3,630.78 / $4,365.16	Facility	50	$1,445.44	$3,630.78	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $776.25	Professional		$199.53	$354.81	$776.25
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	50	$275.42	$275.42	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $501.19	Professional		$199.53	$331.13	$501.19
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 $199.53 / $281.84 / $549.54	Professional		$199.53	$281.84	$549.54
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 $112.20 / $213.80 / $426.58	Professional		$112.20	$213.80	$426.58