Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $782.39 / $3,318.51	Facility		$44.99	$782.39	$3,318.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5.40 / $5.40 / $17.30	Facility	52	$5.40	$5.40	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $40.46 / $184.00	Professional		$10.79	$40.46	$184.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.40 / $17.30 / $31.08	Professional	52	$5.40	$17.30	$31.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $67.44 / $67.44	Professional		$25.90	$67.44	$67.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.35 / $1,648.48 / $3,094.62	Facility		$1,216.35	$1,648.48	$3,094.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $25.71 / $69.53	Professional		$11.32	$25.71	$69.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $43.46 / $95.96	Professional		$19.82	$43.46	$95.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $34.61 / $65.76	Facility		$11.15	$34.61	$65.76
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $42.38 / $42.38 / $42.38	Facility	52	$42.38	$42.38	$42.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $74.08 / $107.16	Professional		$48.62	$74.08	$107.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $69.17 / $103.28	Facility		$23.36	$69.17	$103.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $69.17 / $103.28	Professional		$23.26	$69.17	$103.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $54.20 / $102.30	Professional		$54.20	$54.20	$102.30
United Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $82.54 / $92.64	Professional		$48.62	$82.54	$92.64