Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $3,801.89 / $12,589.25	Facility		$125.89	$3,801.89	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,318.26 / $1,318.26	Facility	50	$1,122.02	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $275.42	Professional		$47.86	$93.33	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $309.03 / $416.87	Professional	50	$120.23	$309.03	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $89.13	Professional		$44.67	$77.62	$89.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $117.49 / $346.74	Professional	50	$81.28	$117.49	$346.74
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 $58.88 / $97.72 / $177.83	Professional		$58.88	$97.72	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $269.15	Professional		$89.13	$151.36	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $112.20 / $229.09	Facility		$60.26	$112.20	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $389.05	Professional		$102.33	$173.78	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $257.04	Professional		$112.20	$169.82	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $281.84	Professional		$114.82	$162.18	$281.84
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 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $213.80	Professional		$66.07	$117.49	$213.80