Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,108.48 / $6,408.55 / $14,452.51	Facility		$3,108.48	$6,408.55	$14,452.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,301.06 / $7,342.32 / $9,612.83	Facility	50	$3,301.06	$7,342.32	$9,612.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $504.78 / $1,489.86	Professional		$438.93	$504.78	$1,489.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $857.11 / $959.03	Professional		$231.65	$857.11	$959.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,522.03 / $5,947.70 / $11,504.78	Facility		$4,522.03	$5,947.70	$11,504.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.18 / $780.98 / $1,041.30	Professional		$458.18	$780.98	$1,041.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.44 / $1,257.44 / $1,257.44	Facility		$1,257.44	$1,257.44	$1,257.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.00 / $1,143.28 / $1,518.17	Professional		$698.00	$1,143.28	$1,518.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $471.81 / $896.44 / $6,350.00	Facility		$471.81	$896.44	$6,350.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,768.00 / $4,152.00 / $9,974.25	Facility	50	$2,768.00	$4,152.00	$9,974.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $619.37 / $1,024.34 / $1,410.36	Professional		$619.37	$1,024.34	$1,410.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,272.83 / $1,969.98	Facility		$896.00	$1,272.83	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $1,036.96 / $1,518.17	Professional		$813.00	$1,036.96	$1,518.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.66 / $930.86 / $1,728.37	Professional		$507.66	$930.86	$1,728.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,441.00 / $8,816.00	Facility		$5,341.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.37 / $1,056.61 / $1,334.03	Professional		$619.37	$1,056.61	$1,334.03