Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $7,220.77 / $20,702.18	Facility		$4,241.22	$7,220.77	$20,702.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,788.10 / $7,967.25 / $10,833.97	Facility	50	$3,788.10	$7,967.25	$10,833.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $454.90 / $1,352.57	Professional		$185.94	$454.90	$1,352.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.69 / $755.36 / $920.26	Professional		$343.69	$755.36	$920.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,838.93 / $11,364.26 / $19,943.52	Facility		$7,838.93	$11,364.26	$19,943.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.56 / $638.47 / $851.28	Professional		$374.56	$638.47	$851.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.14 / $953.62 / $1,350.46	Professional		$558.14	$953.62	$1,350.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $386.91 / $677.09 / $8,636.81	Facility		$386.91	$677.09	$8,636.81
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,394.11 / $12,128.82 / $21,764.80	Facility	50	$1,394.11	$12,128.82	$21,764.80
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 $594.77 / $890.96 / $3,959.35	Professional		$594.77	$890.96	$3,959.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $730.42 / $1,049.31 / $5,090.60	Facility		$730.42	$1,049.31	$5,090.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $638.10 / $962.13 / $1,258.39	Professional		$638.10	$962.13	$1,258.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $626.90 / $1,118.09	Professional		$6.00	$626.90	$1,118.09
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 $594.77 / $933.07 / $1,110.23	Professional		$594.77	$933.07	$1,110.23