Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.39 / $4,778.89 / $12,765.09	Facility		$936.39	$4,778.89	$12,765.09
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.81 / $75.81 / $192.76	Facility	52	$75.81	$75.81	$192.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $277.23 / $885.68	Professional		$151.61	$277.23	$885.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $303.48 / $357.23	Professional		$66.70	$303.48	$357.23
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 $160.33 / $357.10 / $778.75	Professional		$160.33	$357.10	$778.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $512.02 / $1,062.51	Professional		$315.95	$512.02	$1,062.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $385.51 / $885.68	Facility		$160.71	$385.51	$885.68
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $595.82 / $595.82 / $595.82	Facility	52	$595.82	$595.82	$595.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $847.08 / $3,058.16	Professional		$307.00	$847.08	$3,058.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.95 / $767.16 / $1,062.51	Facility		$315.95	$767.16	$1,062.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $520.60 / $1,013.21	Professional		$315.95	$520.60	$1,013.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $334.40 / $864.51	Professional		$161.10	$334.40	$864.51
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 $374.70 / $847.08 / $1,023.15	Professional		$374.70	$847.08	$1,023.15