Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.16 / $4,241.22 / $13,841.56	Facility		$776.16	$4,241.22	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.66 / $16.66 / $105.76	Facility	52	$16.66	$16.66	$105.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $211.52 / $385.64	Professional		$33.32	$211.52	$385.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $56.46 / $254.99	Professional		$56.46	$56.46	$254.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,533.80 / $2,223.57 / $3,902.23	Facility		$1,533.80	$2,223.57	$3,902.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $80.09 / $422.83	Professional		$35.24	$80.09	$422.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $302.00 / $635.14	Professional		$69.87	$302.00	$635.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $211.52 / $412.46	Facility		$34.28	$211.52	$412.46
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $135.65 / $135.65 / $135.65	Facility	52	$135.65	$135.65	$135.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.98 / $517.66 / $1,659.04	Professional		$316.98	$517.66	$1,659.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $393.79 / $635.14	Facility		$81.52	$393.79	$635.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $416.55 / $635.14	Professional		$81.52	$416.55	$635.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $288.00 / $643.40	Professional		$4.00	$288.00	$643.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.98 / $497.28 / $591.70	Professional		$316.98	$497.28	$591.70