Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.55 / $3,034.03 / $11,995.87	Facility		$958.55	$3,034.03	$11,995.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.14 / $49.14 / $137.78	Facility	52	$49.14	$49.14	$137.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.66 / $55.11 / $2,045.00	Facility	53	$19.66	$55.11	$2,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $261.77 / $643.03	Professional		$98.28	$261.77	$643.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $200.02 / $231.09	Professional		$120.82	$200.02	$231.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,252.94 / $3,266.13 / $5,731.84	Facility		$2,252.94	$3,266.13	$5,731.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $233.97 / $549.86	Professional		$102.94	$233.97	$549.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $412.46 / $857.28	Professional		$188.35	$412.46	$857.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.07 / $351.34 / $1,000.92	Facility		$110.07	$351.34	$1,000.92
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $381.48 / $381.48 / $1,272.00	Facility	52	$381.48	$381.48	$1,272.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $95.37 / $95.37 / $95.37	Facility	53	$95.37	$95.37	$95.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.24 / $664.44 / $2,156.80	Professional		$402.24	$664.44	$2,156.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $254.34 / $623.72 / $935.44	Facility		$254.34	$623.72	$935.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $541.67 / $802.59	Professional		$229.25	$541.67	$802.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $409.80 / $855.40	Professional		$4.00	$409.80	$855.40
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 $424.92 / $660.33 / $794.61	Professional		$424.92	$660.33	$794.61