Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $691.83 / $12,589.25	Facility		$112.20	$691.83	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $154.88 / $229.09 / $537.03	Facility	50	$154.88	$229.09	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $346.74	Professional		$60.26	$128.82	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $295.12 / $645.65	Professional	50	$64.57	$295.12	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $125.89	Professional		$38.02	$48.98	$125.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	50	$100.00	$100.00	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $457.09 / $891.25	Facility		$354.81	$457.09	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $147.91	Professional		$53.70	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $239.88	Professional		$48.98	$109.65	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $138.04 / $549.54	Facility		$54.95	$138.04	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $645.65	Professional		$107.15	$186.21	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $234.42	Professional		$109.65	$177.83	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Professional		$104.71	$104.71	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $104.71 / $302.00	Professional		$3.98	$104.71	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,230.27 / $4,466.84	Facility		$165.96	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $199.53	Professional		$63.10	$109.65	$199.53