Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $2,946.56 / $12,765.09	Facility		$18.00	$2,946.56	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $22.41 / $57.39	Professional		$13.71	$22.41	$57.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.47 / $34.11 / $72.97	Professional	50	$17.47	$34.11	$72.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.01 / $7.01 / $69.00	Professional	52	$7.01	$7.01	$69.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.80 / $2.80 / $65.00	Professional	53	$2.80	$2.80	$65.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $28.44 / $33.47	Professional		$13.74	$28.44	$33.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.26 / $36.26 / $42.66	Professional	50	$36.26	$36.26	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.85 / $476.84 / $895.15	Facility		$351.85	$476.84	$895.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $23.94 / $31.93	Professional		$14.05	$23.94	$31.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $36.38 / $45.77	Professional		$29.27	$36.38	$45.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $25.78 / $1,775.00	Facility		$15.94	$25.78	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $31.37 / $116.72	Professional		$17.39	$31.37	$116.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $29.69 / $43.77	Facility		$21.98	$29.69	$43.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $31.37 / $41.01	Professional		$21.98	$31.37	$41.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $41.80	Professional		$17.50	$17.50	$41.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $30.04 / $36.19	Professional		$18.05	$30.04	$36.19