Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $549.54 / $691.83	Facility		$45.71	$549.54	$691.83
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $363.08 / $562.34 / $933.25	Facility	25	$363.08	$562.34	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $104.71	Professional		$30.20	$53.70	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $79.43	Professional		$38.02	$58.88	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Facility		$158.49	$158.49	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $85.11	Professional		$37.15	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $104.71	Professional		$39.81	$79.43	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $56.23 / $89.13	Facility		$36.31	$56.23	$89.13
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $239.88 / $416.87 / $549.54	Facility	25	$239.88	$416.87	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $501.19	Professional		$50.12	$72.44	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $104.71	Professional		$60.26	$79.43	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $97.72	Professional		$79.43	$91.20	$97.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Facility		$724.44	$724.44	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $102.33	Professional		$64.57	$77.62	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $102.33	Professional		$46.77	$69.18	$102.33