Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $9,248.33 / $19,276.96	Facility		$4,241.22	$9,248.33	$19,276.96
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.53 / $102.53 / $341.53	Facility	52	$102.53	$102.53	$341.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.05 / $662.39 / $1,676.46	Professional		$205.05	$662.39	$1,676.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $180.27 / $210.23	Professional		$180.27	$180.27	$210.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,668.81 / $6,768.46 / $11,878.21	Facility		$4,668.81	$6,768.46	$11,878.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.43 / $491.88 / $1,369.98	Professional		$216.43	$491.88	$1,369.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $933.68 / $1,983.53	Professional		$371.70	$933.68	$1,983.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.01 / $683.06 / $1,627.22	Facility		$217.01	$683.06	$1,627.22
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $805.34 / $805.34 / $805.34	Facility	52	$805.34	$805.34	$805.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,006.08 / $1,571.55 / $5,373.76	Professional		$1,006.08	$1,571.55	$5,373.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.88 / $1,538.57 / $2,179.76	Facility		$528.88	$1,538.57	$2,179.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $483.98 / $1,325.45 / $1,978.03	Professional		$483.98	$1,325.45	$1,978.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $848.10 / $2,064.40	Professional		$5.00	$848.10	$2,064.40
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 $1,006.08 / $1,578.34 / $1,878.02	Professional		$1,006.08	$1,578.34	$1,878.02