Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.92 / $4,339.04 / $12,765.09	Facility		$418.92	$4,339.04	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,462.74 / $4,462.74 / $8,066.08	Facility	50	$4,462.74	$4,462.74	$8,066.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $346.29 / $601.14	Professional		$146.86	$346.29	$601.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $357.66 / $600.00 / $840.17	Professional	50	$357.66	$600.00	$840.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $147.50 / $147.50	Professional		$147.50	$147.50	$147.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,503.12 / $7,458.15 / $14,000.85	Facility		$5,503.12	$7,458.15	$14,000.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $299.57 / $484.81	Professional		$155.08	$299.57	$484.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $488.05 / $732.10	Professional		$351.52	$488.05	$732.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.25 / $405.35 / $2,552.80	Facility		$187.25	$405.35	$2,552.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.91 / $587.25 / $3,411.19	Professional		$331.91	$587.25	$3,411.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $351.52 / $580.04 / $1,425.85	Facility		$351.52	$580.04	$1,425.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $488.05 / $684.86	Professional		$351.52	$488.05	$684.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $372.70 / $742.00	Professional		$5.00	$372.70	$742.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.62 / $557.90 / $663.82	Professional		$355.62	$557.90	$663.82