Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.00 / $3,812.04 / $13,841.56	Facility		$1,545.00	$3,812.04	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.76 / $39.76 / $122.83	Facility	52	$39.76	$39.76	$122.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.90 / $15.90 / $49.13	Facility	53	$15.90	$15.90	$49.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $204.88 / $457.96	Professional		$79.52	$204.88	$457.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $160.13 / $160.13	Professional		$160.13	$160.13	$160.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,100.60 / $4,495.00 / $7,888.43	Facility		$3,100.60	$4,495.00	$7,888.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $192.16 / $494.87	Professional		$84.56	$192.16	$494.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $371.70 / $653.69	Professional		$149.18	$371.70	$653.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.64 / $254.33 / $578.97	Facility		$85.64	$254.33	$578.97
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $342.02 / $342.02 / $342.02	Facility	52	$342.02	$342.02	$342.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	53	$85.51	$85.51	$85.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.85 / $559.54 / $1,943.60	Professional		$338.85	$559.54	$1,943.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.45 / $520.42 / $880.93	Facility		$201.45	$520.42	$880.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $421.20 / $646.01	Professional		$199.09	$421.20	$646.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $356.00 / $732.00	Professional		$5.00	$356.00	$732.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.85 / $531.59 / $682.84	Professional		$338.85	$531.59	$682.84