Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $73.72 / $816.22	Facility		$31.25	$73.72	$816.22
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $72.00 / $179.77 / $461.28	Facility	25	$72.00	$179.77	$461.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $50.75 / $95.71	Professional		$26.59	$50.75	$95.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.03 / $67.04 / $97.67	Professional	25	$39.03	$67.04	$97.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $70.23 / $106.21	Professional		$43.62	$70.23	$106.21
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $51.31 / $87.23 / $125.02	Professional	25	$51.31	$87.23	$125.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $66.18 / $108.20	Professional		$34.88	$66.18	$108.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $74.01 / $148.00	Facility		$48.00	$74.01	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $79.73 / $132.44	Professional		$43.78	$79.73	$132.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $54.69 / $93.60	Facility		$31.25	$54.69	$93.60
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $78.37 / $78.37 / $162.43	Facility	25	$78.37	$78.37	$162.43
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $93.75 / $99.33 / $99.33	Facility	62	$93.75	$99.33	$99.33
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $15.00 / $15.89 / $15.89	Facility	AS	$15.00	$15.89	$15.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $92.29 / $223.86	Professional		$50.92	$92.29	$223.86
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $71.19 / $98.31 / $123.28	Professional	25	$71.19	$98.31	$123.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $82.49 / $121.96	Facility		$50.94	$82.49	$121.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $76.23 / $116.66	Professional		$48.41	$76.23	$116.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $186.80 / $186.80 / $186.80	Facility		$186.80	$186.80	$186.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $65.03 / $113.38	Professional		$34.44	$65.03	$113.38
United Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $81.33 / $116.01	Professional		$50.92	$81.33	$116.01