Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,083.97 / $8,042.03 / $19,276.96	Facility		$4,083.97	$8,042.03	$19,276.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,249.03 / $9,249.03 / $9,249.03	Facility	50	$9,249.03	$9,249.03	$9,249.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.57 / $769.10 / $2,041.28	Professional		$294.57	$769.10	$2,041.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $384.55 / $1,210.51 / $2,710.34	Professional	50	$384.55	$1,210.51	$2,710.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,118.02 / $1,118.02 / $1,118.02	Professional	50	$1,118.02	$1,118.02	$1,118.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,153.73 / $15,116.17 / $28,376.91	Facility		$11,153.73	$15,116.17	$28,376.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $751.16 / $3,668.69	Professional		$330.50	$751.16	$3,668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.22 / $1,780.50 / $5,368.33	Professional		$655.22	$1,780.50	$5,368.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $468.08 / $2,608.08 / $4,600.04	Facility		$468.08	$2,608.08	$4,600.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,358.07 / $3,899.89 / $14,571.52	Professional		$2,358.07	$3,899.89	$14,571.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.04 / $3,650.59 / $5,368.33	Facility		$815.04	$3,650.59	$5,368.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $789.74 / $3,356.56 / $5,268.75	Professional		$789.74	$3,356.56	$5,268.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $355.91 / $684.45 / $4,264.93	Professional		$355.91	$684.45	$4,264.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,777.00 / $8,220.00 / $9,696.00	Facility		$6,777.00	$8,220.00	$9,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,358.07 / $3,857.78 / $4,611.68	Professional		$2,358.07	$3,857.78	$4,611.68