Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.78 / $4,182.08 / $13,841.56	Facility		$536.78	$4,182.08	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.52 / $91.52 / $206.46	Facility	52	$91.52	$91.52	$206.46
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.61 / $36.61 / $82.58	Facility	53	$36.61	$36.61	$82.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $412.91 / $1,021.75	Professional		$183.03	$412.91	$1,021.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $163.74 / $183.22	Professional		$136.93	$163.74	$183.22
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 $274.61 / $631.63 / $896.39	Professional		$274.61	$631.63	$896.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.44 / $615.36 / $1,163.68	Professional		$319.44	$615.36	$1,163.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $546.36 / $1,180.80	Facility		$194.38	$546.36	$1,180.80
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 $412.17 / $953.19 / $3,278.48	Professional		$412.17	$953.19	$3,278.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.69 / $926.45 / $1,285.49	Facility		$450.69	$926.45	$1,285.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.78 / $757.68 / $1,128.88	Professional		$433.78	$757.68	$1,128.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $484.00 / $1,021.16	Professional		$193.39	$484.00	$1,021.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $3,167.00 / $7,772.00	Facility		$2,679.00	$3,167.00	$7,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.98 / $926.15 / $1,112.50	Professional		$595.98	$926.15	$1,112.50