Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.33 / $4,518.60 / $12,036.14	Facility		$833.33	$4,518.60	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.17 / $81.17 / $173.67	Facility	52	$81.17	$81.17	$173.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $227.30 / $830.09	Professional		$110.55	$227.30	$830.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $162.02 / $162.02	Professional		$162.02	$162.02	$162.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,616.14 / $6,256.05 / $11,744.20	Facility		$4,616.14	$6,256.05	$11,744.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $351.55 / $704.75	Professional		$171.09	$351.55	$704.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.99 / $694.26 / $1,067.36	Professional		$387.99	$694.26	$1,067.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.97 / $590.48 / $3,044.00	Facility		$206.97	$590.48	$3,044.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $623.66 / $623.66 / $623.66	Facility	52	$623.66	$623.66	$623.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.35 / $858.73 / $2,765.52	Professional		$485.35	$858.73	$2,765.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $415.13 / $799.11 / $2,860.34	Facility		$415.13	$799.11	$2,860.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $374.81 / $694.26 / $996.83	Professional		$374.81	$694.26	$996.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $460.50 / $1,009.20	Professional		$6.00	$460.50	$1,009.20
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 $520.02 / $808.11 / $970.70	Professional		$520.02	$808.11	$970.70