Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.89 / $3,795.64 / $13,841.56	Facility		$493.89	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $127.43 / $127.43 / $148.32	Facility	54	$127.43	$127.43	$148.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $265.00 / $864.00	Professional		$169.91	$265.00	$864.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $217.69 / $217.69	Professional		$217.69	$217.69	$217.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,651.58 / $3,194.68	Facility		$1,255.69	$1,651.58	$3,194.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $302.07 / $406.73	Professional		$175.74	$302.07	$406.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $460.18 / $615.49	Professional		$165.95	$460.18	$615.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $352.10 / $841.70	Facility		$190.55	$352.10	$841.70
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $589.19 / $589.19 / $589.19	Facility	54	$589.19	$589.19	$589.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.72 / $436.45 / $1,602.24	Professional		$247.72	$436.45	$1,602.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $404.66 / $571.66	Facility		$212.01	$404.66	$571.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $417.09 / $565.55	Professional		$296.00	$417.09	$565.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.69 / $283.47 / $431.21	Professional		$193.69	$283.47	$431.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.72 / $436.45 / $510.81	Professional		$247.72	$436.45	$510.81