Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.01 / $8,477.27 / $19,148.84	Facility		$1,051.01	$8,477.27	$19,148.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,508.00 / $5,508.00 / $5,508.00	Facility	50	$5,508.00	$5,508.00	$5,508.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.87 / $888.24 / $2,580.00	Professional		$514.87	$888.24	$2,580.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $753.98 / $1,005.30 / $2,372.82	Professional		$753.98	$1,005.30	$2,372.82
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 $498.64 / $849.97 / $1,133.29	Professional		$498.64	$849.97	$1,133.29
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 $1,039.13 / $1,241.74 / $1,664.74	Professional		$1,039.13	$1,241.74	$1,664.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.87 / $952.51 / $5,405.32	Facility		$514.87	$952.51	$5,405.32
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $145.18 / $849.00 / $849.00	Facility	AS	$145.18	$849.00	$849.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $679.90 / $1,150.22 / $1,545.32	Professional		$679.90	$1,150.22	$1,545.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,039.13 / $1,508.78 / $2,961.89	Facility		$1,039.13	$1,508.78	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $942.57 / $1,256.18 / $1,664.74	Professional		$942.57	$1,256.18	$1,664.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.41 / $1,023.34 / $3,257.00	Professional		$563.41	$1,023.34	$3,257.00
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 $679.90 / $1,150.22 / $1,464.40	Professional		$679.90	$1,150.22	$1,464.40