Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,466.84 / $13,489.63	Facility		$676.08	$4,466.84	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $977.24	Professional		$302.00	$467.74	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $9,332.54	Facility		$2,818.38	$4,365.16	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $724.44	Professional		$295.12	$512.86	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $1,023.29	Professional		$363.08	$630.96	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $512.86 / $4,073.80	Facility		$302.00	$512.86	$4,073.80
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	52	$6,025.60	$6,025.60	$6,025.60
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	53	$1,513.56	$1,513.56	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $2,454.71	Professional		$436.52	$691.83	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,023.29	Professional		$630.96	$776.25	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,023.29	Professional		$575.44	$724.44	$1,023.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Facility		$1,479.11	$1,479.11	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $478.63 / $831.76	Professional		$3.98	$478.63	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $8,128.31	Facility		$2,630.27	$3,467.37	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $891.25	Professional		$354.81	$575.44	$891.25