Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $5,463.36 / $14,486.55	Facility		$1,653.00	$5,463.36	$14,486.55
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $193.86 / $193.86 / $193.86	Facility	52	$193.86	$193.86	$193.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $408.47 / $1,767.00	Professional		$385.43	$408.47	$1,767.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $756.54 / $756.54 / $921.69	Professional		$756.54	$756.54	$921.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,362.84 / $10,999.42 / $21,276.43	Facility		$8,362.84	$10,999.42	$21,276.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.35 / $641.50 / $855.34	Professional		$376.35	$641.50	$855.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,368.73 / $2,368.73 / $2,368.73	Facility		$2,368.73	$2,368.73	$2,368.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $954.40 / $1,284.55	Professional		$672.00	$954.40	$1,284.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.71 / $697.88 / $5,405.32	Facility		$387.71	$697.88	$5,405.32
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $870.38 / $6,791.96 / $6,791.96	Facility	52	$870.38	$6,791.96	$6,791.96
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $108.80 / $849.00 / $849.00	Facility	AS	$108.80	$849.00	$849.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.87 / $875.93 / $1,181.04	Professional		$523.87	$875.93	$1,181.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.26 / $1,045.76 / $2,961.89	Facility		$784.26	$1,045.76	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $727.31 / $930.13 / $1,284.55	Professional		$727.31	$930.13	$1,284.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $427.53 / $745.44 / $851.11	Professional		$427.53	$745.44	$851.11
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 $523.87 / $866.14 / $1,128.33	Professional		$523.87	$866.14	$1,128.33