Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,466.84 / $12,589.25	Facility		$1,584.89	$4,466.84	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $724.44 / $1,778.28	Professional		$194.98	$724.44	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $436.52	Professional		$158.49	$269.15	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,890.45	Facility		$1,548.82	$1,995.26	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $660.69 / $1,513.56	Professional		$229.09	$660.69	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $630.96 / $2,187.76	Professional		$257.04	$630.96	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $776.25 / $2,238.72	Facility		$186.21	$776.25	$2,238.72
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	52	$724.44	$724.44	$724.44
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	53	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $6,025.60	Professional		$1,047.13	$2,041.74	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,513.56 / $2,691.53	Professional		$436.52	$1,513.56	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,513.56 / $1,905.46	Professional		$363.08	$1,513.56	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $1,698.24 / $2,570.40	Professional		$3.98	$1,698.24	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $8,128.31	Facility		$2,398.83	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $933.25 / $2,089.30	Professional		$269.15	$933.25	$2,089.30