Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.20 / $3,908.01 / $12,765.09	Facility		$734.20	$3,908.01	$12,765.09
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.61 / $25.61 / $86.56	Facility	52	$25.61	$25.61	$86.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.24 / $10.24 / $34.61	Facility	53	$10.24	$10.24	$34.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $122.88 / $298.83	Professional		$51.22	$122.88	$298.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $104.33 / $122.80	Professional		$22.93	$104.33	$122.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,665.88 / $3,864.78 / $6,782.44	Facility		$2,665.88	$3,864.78	$6,782.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $124.53 / $350.72	Professional		$54.78	$124.53	$350.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $282.70 / $491.50	Professional		$108.63	$282.70	$491.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $173.12 / $346.12	Facility		$56.07	$173.12	$346.12
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $207.08 / $207.08 / $207.08	Facility	52	$207.08	$207.08	$207.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $51.77 / $51.77 / $51.77	Facility	53	$51.77	$51.77	$51.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $363.79 / $1,376.00	Professional		$137.29	$363.79	$1,376.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.34 / $297.58 / $491.50	Facility		$130.34	$297.58	$491.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $250.99 / $466.93	Professional		$124.45	$250.99	$466.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $192.92 / $404.86	Professional		$57.99	$192.92	$404.86
United Facility/Professional Facility Modifier Low / Median / High Price $710.82 / $2,679.00 / $6,169.00	Facility		$710.82	$2,679.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.34 / $363.79 / $447.17	Professional		$196.34	$363.79	$447.17