Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.18 / $3,509.36 / $12,036.14	Facility		$1,226.18	$3,509.36	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.95 / $32.95 / $133.66	Facility	52	$32.95	$32.95	$133.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.18 / $13.18 / $53.46	Facility	53	$13.18	$13.18	$53.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $171.46 / $360.81	Professional		$65.90	$171.46	$360.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $133.00 / $156.55	Professional		$61.79	$133.00	$156.55
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 $69.98 / $159.03 / $538.90	Professional		$69.98	$159.03	$538.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $362.06 / $825.85	Professional		$138.71	$362.06	$825.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.08 / $267.31 / $677.00	Facility		$71.08	$267.31	$677.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $65.70 / $65.70 / $65.70	Facility	53	$65.70	$65.70	$65.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $502.42 / $2,112.88	Professional		$175.00	$502.42	$2,112.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $607.03 / $921.87	Facility		$167.02	$607.03	$921.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $323.32 / $734.14	Professional		$157.93	$323.32	$734.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $321.60 / $809.70	Professional		$4.00	$321.60	$809.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $597.16 / $690.46	Professional		$305.33	$597.16	$690.46