Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $5,463.36 / $13,841.56	Facility		$1,653.00	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.08 / $69.08 / $311.80	Facility	52	$69.08	$69.08	$311.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $323.47 / $803.07	Professional		$138.16	$323.47	$803.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Professional		$322.95	$322.95	$322.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,064.08 / $4,152.62 / $7,795.52	Facility		$3,064.08	$4,152.62	$7,795.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $328.37 / $1,235.39	Professional		$144.47	$328.37	$1,235.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.22 / $1,217.01 / $1,628.20	Professional		$327.22	$1,217.01	$1,628.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.15 / $1,054.89 / $2,299.61	Facility		$176.15	$1,054.89	$2,299.61
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $530.45 / $530.45 / $530.45	Facility	52	$530.45	$530.45	$530.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.15 / $1,436.21 / $2,744.67	Professional		$800.15	$1,436.21	$2,744.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $360.53 / $1,203.26 / $1,628.20	Facility		$360.53	$1,203.26	$1,628.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $1,046.85 / $1,645.50	Professional		$318.77	$1,046.85	$1,645.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $404.10 / $2,194.60	Professional		$4.00	$404.10	$2,194.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.75 / $1,364.43 / $1,610.76	Professional		$811.75	$1,364.43	$1,610.76