Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.26 / $2,416.69 / $11,995.87	Facility		$704.26	$2,416.69	$11,995.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.02 / $34.02 / $63.26	Facility	52	$34.02	$34.02	$63.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $146.06 / $420.00	Professional		$68.04	$146.06	$420.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.65 / $158.65 / $246.54	Professional		$158.65	$158.65	$246.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,229.71 / $1,666.57 / $3,128.57	Facility		$1,229.71	$1,666.57	$3,128.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $137.19 / $254.62	Professional		$71.01	$137.19	$254.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $250.83 / $383.71	Professional		$157.93	$250.83	$383.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $240.39 / $1,354.00	Facility		$102.06	$240.39	$1,354.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $289.89 / $542.08	Professional		$154.01	$289.89	$542.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.14 / $290.39 / $693.86	Facility		$171.14	$290.39	$693.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $250.83 / $363.36	Professional		$157.93	$250.83	$363.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $144.10 / $363.50	Professional		$3.00	$144.10	$363.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $282.06 / $342.18	Professional		$171.12	$282.06	$342.18