Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.15 / $4,530.89 / $13,841.56	Facility		$1,075.15	$4,530.89	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.67 / $79.67 / $277.37	Facility	52	$79.67	$79.67	$277.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $528.03 / $1,361.04	Professional		$159.34	$528.03	$1,361.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $142.80 / $165.49	Professional		$84.29	$142.80	$165.49
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 $168.19 / $382.24 / $1,111.66	Professional		$168.19	$382.24	$1,111.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $774.63 / $1,633.10	Professional		$333.42	$774.63	$1,633.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $554.74 / $1,321.06	Facility		$170.56	$554.74	$1,321.06
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $634.61 / $634.61 / $634.61	Facility	52	$634.61	$634.61	$634.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $1,293.90 / $4,363.52	Professional		$308.00	$1,293.90	$4,363.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $1,095.11 / $1,633.10	Facility		$334.84	$1,095.11	$1,633.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $739.72 / $1,464.82	Professional		$333.42	$739.72	$1,464.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $358.50 / $1,233.45	Professional		$169.61	$358.50	$1,233.45
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 $554.07 / $1,285.71 / $1,544.40	Professional		$554.07	$1,285.71	$1,544.40