Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $302.00	Facility		$38.02	$44.67	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $85.11	Professional		$30.20	$39.81	$85.11
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	22	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.81 / $42.66 / $44.67	Professional	52	$39.81	$42.66	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $46.77 / $72.44	Professional		$17.78	$46.77	$72.44
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $11.48 / $11.48 / $11.48	Professional	52	$11.48	$11.48	$11.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $426.58	Facility		$316.23	$316.23	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $70.79	Professional		$30.20	$51.29	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $97.72	Professional		$28.18	$63.10	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $81.28	Facility		$30.20	$51.29	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $100.00	Professional		$35.48	$74.13	$100.00
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $37.15 / $37.15 / $38.90	Professional	52	$37.15	$37.15	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $93.33	Professional		$64.57	$74.13	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $83.18	Professional		$63.10	$72.44	$83.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $263.03	Facility		$223.87	$223.87	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $85.11	Professional		$31.62	$56.23	$85.11