Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $6,165.95 / $10,000.00	Facility		$323.59	$6,165.95	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $3,801.89 / $9,332.54	Facility	50	$1,445.44	$3,801.89	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $891.25	Professional		$147.91	$251.19	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $524.81 / $3,388.44	Professional	50	$251.19	$524.81	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $537.03	Professional		$141.25	$269.15	$537.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $338.84 / $501.19	Professional	50	$186.21	$338.84	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $9,120.11	Facility		$3,548.13	$4,466.84	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $354.81	Professional		$144.54	$245.47	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $467.74	Professional		$162.18	$363.08	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $630.96 / $4,570.88	Facility		$158.49	$630.96	$4,570.88
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $1,862.09 / $3,630.78	Facility	50	$831.76	$1,862.09	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $1,445.44	Professional		$199.53	$316.23	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $489.78	Professional		$354.81	$363.08	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,918.31	Facility		$6,025.60	$6,025.60	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $263.03 / $407.38	Professional		$3.98	$263.03	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $8,128.31	Facility		$1,905.46	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $416.87	Professional		$204.17	$309.03	$416.87