Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,807.03 / $8,584.20 / $16,762.57	Facility		$3,807.03	$8,584.20	$16,762.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,728.09 / $8,112.47 / $8,948.29	Facility	50	$4,728.09	$8,112.47	$8,948.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.94 / $995.99 / $7,210.59	Professional		$242.94	$995.99	$7,210.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $845.21 / $4,900.18 / $5,094.43	Professional	50	$845.21	$4,900.18	$5,094.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $466.94 / $466.94 / $1,254.21	Professional		$466.94	$466.94	$1,254.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $700.41 / $700.41 / $1,379.63	Professional	50	$700.41	$700.41	$1,379.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,725.11 / $8,845.35 / $17,109.75	Facility		$6,725.11	$8,845.35	$17,109.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.51 / $1,453.05 / $2,119.63	Professional		$363.51	$1,453.05	$2,119.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.53 / $1,943.53 / $3,441.88	Professional		$576.53	$1,943.53	$3,441.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.41 / $1,912.58 / $8,632.00	Facility		$364.41	$1,912.58	$8,632.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,249.34 / $6,249.34 / $6,249.34	Facility	50	$6,249.34	$6,249.34	$6,249.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $632.26 / $2,572.64 / $9,157.00	Professional		$632.26	$2,572.64	$9,157.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $632.26 / $2,557.79 / $3,499.34	Facility		$632.26	$2,557.79	$3,499.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $593.89 / $2,268.52 / $3,464.30	Professional		$593.89	$2,268.52	$3,464.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.16 / $525.30 / $2,022.93	Professional		$273.16	$525.30	$2,022.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $6,178.00 / $8,632.00	Facility		$4,700.00	$6,178.00	$8,632.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,651.16 / $2,819.67 / $3,865.57	Professional		$1,651.16	$2,819.67	$3,865.57