Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $1,545.00 / $12,036.14	Facility		$56.20	$1,545.00	$12,036.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $57.89 / $632.28 / $5,003.68	Facility	50	$57.89	$632.28	$5,003.68
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.03 / $15.03 / $22.00	Facility	52	$15.03	$15.03	$22.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $54.16 / $138.18	Professional		$30.06	$54.16	$138.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.98 / $120.00 / $246.00	Professional	50	$65.98	$120.00	$246.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.03 / $22.00 / $86.50	Professional	52	$15.03	$22.00	$86.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $67.92 / $88.93	Professional		$42.96	$67.92	$88.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $48.09 / $101.89 / $120.00	Professional	50	$48.09	$101.89	$120.00
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 $31.57 / $59.90 / $90.53	Professional		$31.57	$59.90	$90.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $100.39 / $136.31	Professional		$69.86	$100.39	$136.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $74.78 / $189.20	Facility		$38.33	$74.78	$189.20
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $92.82 / $116.16 / $198.38	Facility	50	$92.82	$116.16	$198.38
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $116.25 / $116.25 / $116.25	Facility	52	$116.25	$116.25	$116.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $109.33 / $356.96	Professional		$60.17	$109.33	$356.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $100.39 / $136.31	Facility		$69.86	$100.39	$136.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $96.66 / $126.59	Professional		$69.30	$96.66	$126.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $79.20 / $121.90	Professional		$4.00	$79.20	$121.90
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 $60.17 / $103.87 / $133.16	Professional		$60.17	$103.87	$133.16