Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $38.02 / $242.25	Facility		$30.42	$38.02	$242.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.21 / $15.21 / $17.69	Facility	52	$15.21	$15.21	$17.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $40.32 / $81.98	Professional		$30.42	$40.32	$81.98
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $39.04 / $39.04 / $39.04	Professional	22	$39.04	$39.04	$39.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.21 / $17.73 / $25.69	Professional	52	$15.21	$17.73	$25.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $46.80 / $72.94	Professional		$31.20	$46.80	$72.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.60 / $425.60 / $425.60	Facility		$425.60	$425.60	$425.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $52.93 / $71.73	Professional		$31.05	$52.93	$71.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $69.95 / $94.03	Professional		$28.41	$69.95	$94.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $48.88 / $81.98	Facility		$29.39	$48.88	$81.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $76.30 / $103.52	Professional		$39.33	$76.30	$103.52
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $37.49 / $37.49 / $38.72	Professional	52	$37.49	$37.49	$38.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $74.45 / $94.03	Facility		$64.48	$74.45	$94.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $74.45 / $94.03	Professional		$56.91	$74.45	$94.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $56.48 / $75.48	Professional		$34.39	$56.48	$75.48
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $69.77 / $90.07	Professional		$37.36	$69.77	$90.07