Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.08 / $4,154.67 / $11,100.08	Facility		$682.08	$4,154.67	$11,100.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.00 / $70.00 / $506.08	Facility	52	$70.00	$70.00	$506.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.00 / $28.00 / $202.43	Facility	53	$28.00	$28.00	$202.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $341.22 / $2,317.79	Professional		$139.99	$341.22	$2,317.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $184.80 / $941.22	Professional		$123.20	$184.80	$941.22
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 $960.95 / $1,621.78 / $2,183.98	Professional		$960.95	$1,621.78	$2,183.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $1,423.95 / $3,020.33	Professional		$292.50	$1,423.95	$3,020.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $910.94 / $2,317.79	Facility		$148.60	$910.94	$2,317.79
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $551.04 / $551.04 / $551.04	Facility	52	$551.04	$551.04	$551.04
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $137.76 / $137.76 / $137.76	Facility	53	$137.76	$137.76	$137.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $2,222.06 / $7,882.64	Professional		$257.58	$2,222.06	$7,882.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $1,525.33 / $2,608.64	Facility		$292.50	$1,525.33	$2,608.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $1,525.33 / $2,806.71	Professional		$292.50	$1,525.33	$2,806.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $308.80 / $2,225.07	Professional		$148.60	$308.80	$2,225.07
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 $331.33 / $2,378.34 / $2,798.01	Professional		$331.33	$2,378.34	$2,798.01