Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.00 / $3,588.88 / $13,841.56	Facility		$1,545.00	$3,588.88	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.54 / $38.54 / $99.34	Facility	52	$38.54	$38.54	$99.34
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.42 / $15.42 / $39.74	Facility	53	$15.42	$15.42	$39.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $198.68 / $522.37	Professional		$77.09	$198.68	$522.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $148.38 / $153.57	Professional		$148.38	$148.38	$153.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,724.93 / $4,899.30 / $9,476.84	Facility		$3,724.93	$4,899.30	$9,476.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $182.44 / $399.00	Professional		$81.06	$182.44	$399.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $258.37 / $606.99	Professional		$181.22	$258.37	$606.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.64 / $347.69 / $3,918.09	Facility		$115.64	$347.69	$3,918.09
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $301.54 / $301.54 / $301.54	Facility	52	$301.54	$301.54	$301.54
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $75.39 / $75.39 / $75.39	Facility	53	$75.39	$75.39	$75.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.25 / $480.90 / $1,374.00	Professional		$260.25	$480.90	$1,374.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.73 / $483.23 / $3,013.58	Facility		$198.73	$483.23	$3,013.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $393.07 / $589.89	Professional		$198.73	$393.07	$589.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $166.93 / $448.21	Professional		$86.80	$166.93	$448.21
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 $300.29 / $466.64 / $560.53	Professional		$300.29	$466.64	$560.53