Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.85 / $3,034.03 / $6,959.91	Facility		$378.85	$3,034.03	$6,959.91
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.07 / $1,104.00 / $5,077.60	Facility	52	$84.07	$1,104.00	$5,077.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $84.07 / $189.23 / $4,910.20	Facility	53	$84.07	$189.23	$4,910.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $345.06 / $853.04	Professional		$168.13	$345.06	$853.04
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.15 / $98.10 / $292.25	Professional	53	$38.15	$98.10	$292.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $292.99 / $396.61	Professional		$177.75	$292.99	$396.61
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $37.74 / $84.44 / $168.87	Professional	53	$37.74	$84.44	$168.87
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 $302.88 / $516.27 / $688.37	Professional		$302.88	$516.27	$688.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $565.12 / $925.93	Professional		$318.39	$565.12	$925.93
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $176.37 / $328.43 / $462.97	Professional	53	$176.37	$328.43	$462.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $584.05 / $2,471.90	Facility		$244.35	$584.05	$2,471.90
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $663.66 / $663.66	Facility	52	$663.66	$663.66	$663.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $165.92 / $1,408.32	Facility	53	$165.92	$165.92	$1,408.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.41 / $606.79 / $1,356.96	Professional		$359.41	$606.79	$1,356.96
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $170.16 / $303.39 / $363.85	Professional	53	$170.16	$303.39	$363.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $398.84 / $737.26 / $995.61	Facility		$398.84	$737.26	$995.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.84 / $631.17 / $925.93	Professional		$398.84	$631.17	$925.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $338.40 / $746.20	Professional		$95.45	$338.40	$746.20
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 $465.57 / $730.39 / $869.06	Professional		$465.57	$730.39	$869.06