Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,078.48 / $6,345.10 / $16,328.44	Facility		$2,078.48	$6,345.10	$16,328.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,408.55 / $6,408.55 / $6,408.55	Facility	50	$6,408.55	$6,408.55	$6,408.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $588.03 / $1,652.83	Professional		$294.02	$588.03	$1,652.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $519.57 / $1,056.28 / $1,391.20	Professional		$519.57	$1,056.28	$1,391.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,187.86 / $8,386.12 / $15,742.91	Facility		$6,187.86	$8,386.12	$15,742.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.99 / $968.15 / $1,290.88	Professional		$567.99	$968.15	$1,290.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.60 / $1,470.90 / $1,908.70	Professional		$1,183.60	$1,470.90	$1,908.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $648.46 / $1,368.95 / $6,379.35	Facility		$648.46	$1,368.95	$6,379.35
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $826.90 / $826.90 / $826.90	Facility	AS	$826.90	$826.90	$826.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $760.21 / $1,339.41 / $4,805.92	Professional		$760.21	$1,339.41	$4,805.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,070.58 / $1,470.90 / $2,865.45	Facility		$1,070.58	$1,470.90	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $966.83 / $1,456.31 / $1,908.70	Professional		$966.83	$1,456.31	$1,908.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $515.40 / $889.79 / $3,955.99	Professional		$515.40	$889.79	$3,955.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $844.68 / $1,392.27 / $1,709.78	Professional		$844.68	$1,392.27	$1,709.78