Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,335.75 / $7,439.87 / $11,100.08	Facility		$2,335.75	$7,439.87	$11,100.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.01 / $60.01 / $182.84	Facility	53	$60.01	$60.01	$182.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.07 / $828.14 / $2,612.09	Professional		$300.07	$828.14	$2,612.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.29 / $534.96 / $704.59	Professional		$299.29	$534.96	$704.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,092.34 / $8,013.10 / $15,499.92	Facility		$6,092.34	$8,013.10	$15,499.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.58 / $1,448.14 / $1,930.84	Professional		$849.58	$1,448.14	$1,930.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.15 / $1,089.27 / $3,075.80	Professional		$716.15	$1,089.27	$3,075.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $510.12 / $2,439.90 / $7,405.33	Facility		$510.12	$2,439.90	$7,405.33
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $297.92 / $297.92 / $297.92	Facility	53	$297.92	$297.92	$297.92
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $148.96 / $148.96 / $148.96	Facility	AS	$148.96	$148.96	$148.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,302.57 / $2,312.94 / $5,494.00	Professional		$1,302.57	$2,312.94	$5,494.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $773.30 / $2,339.67 / $3,149.58	Facility		$773.30	$2,339.67	$3,149.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $716.15 / $2,024.73 / $2,759.82	Professional		$716.15	$2,024.73	$2,759.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.33 / $650.63 / $1,850.60	Professional		$338.33	$650.63	$1,850.60
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 $1,302.57 / $2,224.40 / $2,805.54	Professional		$1,302.57	$2,224.40	$2,805.54