Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.39 / $2,769.00 / $7,119.04	Facility		$580.39	$2,769.00	$7,119.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.56 / $202.17 / $1,370.80	Facility	52	$91.56	$202.17	$1,370.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.61 / $36.61 / $80.87	Facility	53	$36.61	$36.61	$80.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $404.34 / $1,009.51	Professional		$183.12	$404.34	$1,009.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $91.56 / $202.17 / $516.19	Professional	52	$91.56	$202.17	$516.19
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.61 / $80.87 / $203.42	Professional	53	$36.61	$80.87	$203.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.74 / $318.64 / $588.64	Professional		$163.74	$318.64	$588.64
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $20.14 / $20.14 / $20.14	Professional	52	$20.14	$20.14	$20.14
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 $386.94 / $658.63 / $879.44	Professional		$386.94	$658.63	$879.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.56 / $698.72 / $1,190.85	Professional		$323.56	$698.72	$1,190.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $872.47 / $3,049.50	Facility		$283.83	$872.47	$3,049.50
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $721.81 / $721.81 / $721.81	Facility	52	$721.81	$721.81	$721.81
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $180.45 / $180.45 / $180.45	Facility	53	$180.45	$180.45	$180.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $600.41 / $1,640.36	Professional		$91.17	$600.41	$1,640.36
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $35.63 / $196.01 / $449.43	Professional	52	$35.63	$196.01	$449.43
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $388.57 / $388.57 / $388.57	Professional	53	$388.57	$388.57	$388.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $933.03 / $1,285.49	Facility		$471.24	$933.03	$1,285.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.78 / $805.23 / $1,165.58	Professional		$433.78	$805.23	$1,165.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $504.90 / $999.65	Professional		$193.39	$504.90	$999.65
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 $600.41 / $933.03 / $1,120.76	Professional		$600.41	$933.03	$1,120.76