Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.50 / $10,431.19 / $21,899.37	Facility		$4,570.50	$10,431.19	$21,899.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,833.62 / $8,271.04 / $13,994.39	Facility	50	$2,833.62	$8,271.04	$13,994.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.69 / $435.80 / $914.56	Professional		$296.69	$435.80	$914.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $705.13 / $1,109.90 / $2,529.86	Professional	50	$705.13	$1,109.90	$2,529.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $389.99 / $389.99 / $662.99	Professional	50	$389.99	$389.99	$662.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,970.26 / $10,801.75 / $20,277.64	Facility		$7,970.26	$10,801.75	$20,277.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.81 / $485.48 / $647.29	Professional		$284.81	$485.48	$647.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.53 / $737.59 / $977.10	Professional		$593.53	$737.59	$977.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.66 / $848.60 / $11,532.40	Facility		$314.66	$848.60	$11,532.40
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,013.14 / $14,395.00 / $16,475.00	Facility	50	$2,013.14	$14,395.00	$16,475.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $758.66 / $6,125.60	Professional		$428.79	$758.66	$6,125.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $593.53 / $863.51 / $4,487.09	Facility		$593.53	$863.51	$4,487.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $593.53 / $747.05 / $977.10	Professional		$593.53	$747.05	$977.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $703.30 / $852.70	Professional		$5.00	$703.30	$852.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $8,632.00 / $10,247.57	Facility		$5,341.00	$8,632.00	$10,247.57
United Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $720.74 / $890.34	Professional		$428.79	$720.74	$890.34