Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,677.35 / $11,220.18	Facility		$524.81	$4,677.35	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $602.56 / $1,380.38	Professional		$251.19	$602.56	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $6,760.83	Facility		$1,949.84	$3,162.28	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $912.01 / $1,288.25	Professional		$346.74	$912.01	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $794.33 / $1,949.84	Professional		$316.23	$794.33	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $645.65 / $1,479.11	Facility		$239.88	$645.65	$1,479.11
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	52	$933.25	$933.25	$933.25
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	53	$229.09	$229.09	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,412.54 / $4,897.79	Professional		$660.69	$1,412.54	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,230.27 / $2,041.74	Professional		$562.34	$1,230.27	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,202.26 / $1,513.56	Professional		$446.68	$1,202.26	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Facility		$2,238.72	$2,238.72	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $831.76 / $1,862.09	Professional		$3.98	$831.76	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $8,128.31	Facility		$1,479.11	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $1,584.89	Professional		$338.84	$724.44	$1,584.89