Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $186.21 / $7,943.28	Facility		$56.23	$186.21	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $38.90 / $630.96 / $5,011.87	Facility	50	$38.90	$630.96	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $131.83	Professional		$30.90	$57.54	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $134.90 / $275.42	Professional	50	$66.07	$134.90	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $85.11	Professional		$33.88	$44.67	$85.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $64.57 / $112.20	Professional	50	$48.98	$64.57	$112.20
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 $37.15 / $58.88 / $91.20	Professional		$37.15	$58.88	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $134.90	Professional		$33.88	$74.13	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $74.13 / $1,230.27	Facility		$38.02	$74.13	$1,230.27
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $93.33 / $117.49 / $199.53	Facility	50	$93.33	$117.49	$199.53
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $354.81	Professional		$63.10	$95.50	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $134.90	Professional		$75.86	$104.71	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $107.15	Professional		$70.79	$70.79	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $85.11 / $123.03	Professional		$3.98	$85.11	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,230.27 / $4,466.84	Facility		$72.44	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $112.20	Professional		$44.67	$70.79	$112.20