Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,290.87 / $8,511.38	Facility		$295.12	$2,290.87	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $295.12 / $912.01	Professional		$97.72	$295.12	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $602.56	Professional		$85.11	$123.03	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $7,762.47	Facility		$3,090.30	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $575.44	Professional		$123.03	$251.19	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $316.23 / $912.01	Professional		$123.03	$316.23	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $616.60 / $1,819.70	Facility		$128.82	$616.60	$1,819.70
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	52	$389.05	$389.05	$389.05
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	53	$97.72	$97.72	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,862.09	Professional		$407.38	$645.65	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $676.08 / $870.96	Professional		$263.03	$676.08	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $676.08	Professional		$239.88	$239.88	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $251.19 / $1,548.82	Professional		$3.98	$251.19	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $6,309.57	Facility		$776.25	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $371.54 / $794.33	Professional		$151.36	$371.54	$794.33