Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,463.36 / $8,865.00 / $20,257.14	Facility		$5,463.36	$8,865.00	$20,257.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $293.18 / $293.18 / $293.18	Facility	52	$293.18	$293.18	$293.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $117.27 / $117.27 / $117.27	Facility	53	$117.27	$117.27	$117.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.35 / $736.14 / $1,898.31	Professional		$586.35	$736.14	$1,898.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $519.77 / $1,096.65 / $1,391.71	Professional		$519.77	$1,096.65	$1,391.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,867.78 / $12,855.80 / $22,561.09	Facility		$8,867.78	$12,855.80	$22,561.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.01 / $966.50 / $1,288.67	Professional		$567.01	$966.50	$1,288.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.97 / $1,439.14 / $2,060.65	Professional		$808.97	$1,439.14	$2,060.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $586.35 / $1,314.00 / $11,286.96	Facility		$586.35	$1,314.00	$11,286.96
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,302.24 / $12,302.24 / $12,302.24	Facility	52	$12,302.24	$12,302.24	$12,302.24
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $3,075.56 / $3,075.56 / $3,075.56	Facility	53	$3,075.56	$3,075.56	$3,075.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $910.35 / $1,370.00 / $4,971.47	Professional		$910.35	$1,370.00	$4,971.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,181.59 / $1,475.12 / $5,148.58	Facility		$1,181.59	$1,475.12	$5,148.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,459.96 / $1,929.36	Professional		$1,007.00	$1,459.96	$1,929.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,080.70 / $1,951.90	Professional		$7.00	$1,080.70	$1,951.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,777.00 / $8,220.00 / $9,696.00	Facility		$6,777.00	$8,220.00	$9,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.35 / $1,409.59 / $1,731.75	Professional		$910.35	$1,409.59	$1,731.75