Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.55 / $3,453.17 / $12,765.09	Facility		$221.55	$3,453.17	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.55 / $513.79 / $1,537.60	Professional		$221.55	$513.79	$1,537.60
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $14.53 / $38.44 / $152.32	Professional	AS	$14.53	$38.44	$152.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.42 / $321.63 / $522.46	Professional		$214.42	$321.63	$522.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,828.40 / $10,296.48 / $19,916.72	Facility		$7,828.40	$10,296.48	$19,916.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $363.72 / $484.95	Professional		$213.38	$363.72	$484.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $533.67 / $737.59	Professional		$360.00	$533.67	$737.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.55 / $388.33 / $1,171.68	Facility		$221.55	$388.33	$1,171.68
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $732.30 / $732.30	Facility	62	$384.88	$732.30	$732.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $117.17 / $117.17	Facility	AS	$61.58	$117.17	$117.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $498.92 / $678.54	Professional		$302.08	$498.92	$678.54
Medica Facility/Professional Professional Modifier AS Low / Median / High Price $70.11 / $70.11 / $70.11	Professional	AS	$70.11	$70.11	$70.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $294.19 / $563.30 / $793.59	Facility		$294.19	$563.30	$793.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $381.27 / $563.30 / $737.59	Professional		$381.27	$563.30	$737.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.22 / $403.14 / $482.44	Professional		$231.22	$403.14	$482.44
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 $302.08 / $515.86 / $650.64	Professional		$302.08	$515.86	$650.64