Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.99 / $4,778.89 / $13,841.56	Facility		$585.99	$4,778.89	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.58 / $91.58 / $293.00	Facility	52	$91.58	$91.58	$293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $334.74 / $972.02	Professional		$183.16	$334.74	$972.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $431.57 / $431.57	Professional		$187.45	$431.57	$431.57
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 $193.34 / $439.39 / $1,175.93	Professional		$193.34	$439.39	$1,175.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $856.82 / $1,894.45	Professional		$371.70	$856.82	$1,894.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.73 / $585.99 / $1,209.10	Facility		$193.73	$585.99	$1,209.10
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $718.14 / $718.14 / $718.14	Facility	52	$718.14	$718.14	$718.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.18 / $1,231.85 / $4,612.72	Professional		$424.18	$1,231.85	$4,612.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $439.64 / $1,158.42 / $1,746.82	Facility		$439.64	$1,158.42	$1,746.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $383.26 / $833.46 / $1,698.48	Professional		$383.26	$833.46	$1,698.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $499.70 / $1,769.60	Professional		$5.00	$499.70	$1,769.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $3,167.00 / $7,772.00	Facility		$2,679.00	$3,167.00	$7,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.51 / $1,201.06 / $1,525.66	Professional		$674.51	$1,201.06	$1,525.66