Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.08 / $3,487.50 / $9,040.51	Facility		$696.08	$3,487.50	$9,040.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.17 / $63.17 / $175.79	Facility	52	$63.17	$63.17	$175.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.27 / $25.27 / $70.31	Facility	53	$25.27	$25.27	$70.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $221.31 / $469.94	Professional		$67.66	$221.31	$469.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $166.91 / $297.95	Professional		$100.88	$166.91	$297.95
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 $336.44 / $571.50 / $764.65	Professional		$336.44	$571.50	$764.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.75 / $566.86 / $1,028.06	Professional		$240.75	$566.86	$1,028.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.50 / $667.98 / $2,754.00	Facility		$189.50	$667.98	$2,754.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $496.53 / $496.53 / $496.53	Facility	52	$496.53	$496.53	$496.53
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $124.13 / $124.13 / $124.13	Facility	53	$124.13	$124.13	$124.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $525.27 / $1,415.95	Professional		$135.66	$525.27	$1,415.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.08 / $803.50 / $1,028.06	Facility		$325.08	$803.50	$1,028.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $637.32 / $1,018.44	Professional		$298.39	$637.32	$1,018.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $383.91 / $872.26	Professional		$134.71	$383.91	$872.26
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 $465.00 / $816.27 / $980.50	Professional		$465.00	$816.27	$980.50