Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $3,235.94	Facility		$407.38	$1,584.89	$3,235.94
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,621.81 / $2,570.40 / $5,011.87	Facility	25	$1,621.81	$2,570.40	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $794.33	Professional		$181.97	$239.88	$794.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $186.21 / $363.08 / $1,047.13	Professional	25	$186.21	$363.08	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $489.78	Professional		$204.17	$323.59	$489.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $186.21 / $281.84 / $398.11	Professional	25	$186.21	$281.84	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Facility		$933.25	$933.25	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $512.86	Professional		$208.93	$371.54	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $741.31	Professional		$213.80	$398.11	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $457.09	Facility		$186.21	$288.40	$457.09
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	25	$3,019.95	$3,019.95	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,737.80	Professional		$275.42	$457.09	$1,737.80
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $269.15 / $407.38 / $549.54	Professional	25	$269.15	$407.38	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $645.65	Professional		$398.11	$426.58	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $602.56	Professional		$380.19	$467.74	$602.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,548.13	Facility		$3,019.95	$3,019.95	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $660.69	Professional		$213.80	$389.05	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $588.84	Professional		$234.42	$363.08	$588.84