Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $7,585.78	Facility		$389.05	$2,630.27	$7,585.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,096.48 / $5,128.61 / $5,128.61	Facility	52	$1,096.48	$5,128.61	$5,128.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $147.91 / $275.42 / $2,344.23	Facility	53	$147.91	$275.42	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $1,000.00	Professional		$181.97	$363.08	$1,000.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $74.13 / $162.18 / $323.59	Professional	53	$74.13	$162.18	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $380.19	Professional		$154.88	$208.93	$380.19
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $39.81 / $85.11 / $169.82	Professional	53	$39.81	$85.11	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,951.21 / $6,760.83	Facility		$1,202.26	$2,951.21	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $707.95	Professional		$309.03	$524.81	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $1,000.00	Professional		$245.47	$446.68	$1,000.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $177.83 / $316.23 / $446.68	Professional	53	$177.83	$316.23	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $933.25 / $2,630.27	Facility		$251.19	$933.25	$2,630.27
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	52	$660.69	$660.69	$660.69
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.96 / $165.96 / $1,412.54	Facility	53	$165.96	$165.96	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,348.96	Professional		$354.81	$602.56	$1,348.96
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $169.82 / $302.00 / $363.08	Professional	53	$169.82	$302.00	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $741.31 / $933.25	Professional		$398.11	$741.31	$933.25
Midlands Facility/Professional Professional Modifier 53 Low / Median / High Price $177.83 / $338.84 / $467.74	Professional	53	$177.83	$338.84	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $933.25	Professional		$323.59	$549.54	$933.25
Midlands Facility/Professional Professional Modifier 53 Low / Median / High Price $158.49 / $269.15 / $467.74	Professional	53	$158.49	$269.15	$467.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Facility		$1,479.11	$1,737.80	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $588.84 / $933.25	Professional		$3.98	$588.84	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,162.28 / $8,128.31	Facility		$1,148.15	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $794.33	Professional		$239.88	$446.68	$794.33