Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.02 / $2,996.59 / $9,317.95	Facility		$361.02	$2,996.59	$9,317.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.94 / $134.21 / $1,609.25	Facility	52	$55.94	$134.21	$1,609.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.37 / $22.37 / $53.68	Facility	53	$22.37	$22.37	$53.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $259.08 / $672.53	Professional		$109.46	$259.08	$672.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $115.19 / $264.42	Professional		$92.83	$115.19	$264.42
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 $168.56 / $410.95 / $583.22	Professional		$168.56	$410.95	$583.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $450.68 / $768.13	Professional		$212.78	$450.68	$768.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $356.76 / $1,558.43	Facility		$142.63	$356.76	$1,558.43
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $442.02 / $442.02 / $442.02	Facility	52	$442.02	$442.02	$442.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $110.50 / $110.50 / $110.50	Facility	53	$110.50	$110.50	$110.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.44 / $516.00 / $2,132.08	Professional		$226.44	$516.00	$2,132.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $287.33 / $611.53 / $947.94	Facility		$287.33	$611.53	$947.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $516.00 / $748.21	Professional		$265.64	$516.00	$748.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $333.10 / $672.05	Professional		$120.42	$333.10	$672.05
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 $392.56 / $612.40 / $735.62	Professional		$392.56	$612.40	$735.62