Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.00 / $4,518.60 / $14,800.60	Facility		$1,171.00	$4,518.60	$14,800.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.46 / $101.46 / $585.50	Facility	52	$101.46	$101.46	$585.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.92 / $546.91 / $1,483.47	Professional		$202.92	$546.91	$1,483.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $405.02 / $405.02 / $476.75	Professional		$405.02	$405.02	$476.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,641.59 / $10,356.32 / $19,441.45	Facility		$7,641.59	$10,356.32	$19,441.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.63 / $485.55 / $2,337.19	Professional		$213.63	$485.55	$2,337.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.60 / $2,302.40 / $3,523.48	Professional		$484.60	$2,302.40	$3,523.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.72 / $1,559.46 / $5,457.92	Facility		$258.72	$1,559.46	$5,457.92
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $784.78 / $784.78 / $784.78	Facility	52	$784.78	$784.78	$784.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,423.13 / $2,432.21 / $4,596.00	Professional		$1,423.13	$2,432.21	$4,596.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $2,302.40 / $3,220.62	Facility		$523.26	$2,302.40	$3,220.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $1,585.98 / $2,958.29	Professional		$460.80	$1,585.98	$2,958.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $112.20 / $3,627.90	Professional		$6.00	$112.20	$3,627.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.75 / $2,403.84 / $2,962.63	Professional		$1,443.75	$2,403.84	$2,962.63