Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.69 / $4,480.83 / $12,036.14	Facility		$963.69	$4,480.83	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.51 / $80.51 / $178.59	Facility	52	$80.51	$80.51	$178.59
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.20 / $32.20 / $71.43	Facility	53	$32.20	$32.20	$71.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.01 / $357.17 / $902.51	Professional		$161.01	$357.17	$902.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $287.77 / $379.01	Professional		$70.77	$287.77	$379.01
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 $170.12 / $353.08 / $722.34	Professional		$170.12	$353.08	$722.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.25 / $541.45 / $1,033.05	Professional		$337.25	$541.45	$1,033.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.69 / $357.17 / $1,108.50	Facility		$170.69	$357.17	$1,108.50
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $633.38 / $633.38 / $633.38	Facility	52	$633.38	$633.38	$633.38
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $158.34 / $158.34 / $158.34	Facility	53	$158.34	$158.34	$158.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.46 / $834.86 / $2,839.20	Professional		$337.46	$834.86	$2,839.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.46 / $755.09 / $1,033.05	Facility		$337.46	$755.09	$1,033.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $337.25 / $541.45 / $940.88	Professional		$337.25	$541.45	$940.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $358.50 / $1,053.40	Professional		$5.00	$358.50	$1,053.40
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 $397.13 / $782.63 / $975.24	Professional		$397.13	$782.63	$975.24