Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.37 / $1,452.25 / $3,036.20	Facility		$187.37	$1,452.25	$3,036.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,600.92 / $2,187.13 / $2,593.30	Facility	25	$1,600.92	$2,187.13	$2,593.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $225.96 / $609.24	Professional		$185.46	$225.96	$609.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $173.13 / $427.53 / $941.72	Professional	25	$173.13	$427.53	$941.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $326.42 / $496.29	Professional		$202.50	$326.42	$496.29
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $192.01 / $326.42 / $467.85	Professional	25	$192.01	$326.42	$467.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.19 / $369.06 / $521.54	Professional		$209.19	$369.06	$521.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.06 / $513.80 / $877.55	Professional		$262.06	$513.80	$877.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.37 / $318.52 / $490.33	Facility		$187.37	$318.52	$490.33
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $3,038.40 / $3,038.40 / $3,038.40	Facility	25	$3,038.40	$3,038.40	$3,038.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $491.34 / $1,733.52	Professional		$317.39	$491.34	$1,733.52
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $309.23 / $444.32 / $640.45	Professional	25	$309.23	$444.32	$640.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $446.39 / $672.63	Facility		$308.58	$446.39	$672.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $424.45 / $638.52	Professional		$324.45	$424.45	$638.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $387.10 / $581.45	Professional		$218.72	$387.10	$581.45
United Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $469.76 / $662.11	Professional		$317.39	$469.76	$662.11