Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,801.89 / $12,589.25	Facility		$1,148.15	$3,801.89	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,235.94 / $5,623.41	Facility	50	$3,090.30	$3,235.94	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $524.81 / $1,621.81	Professional		$97.72	$524.81	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $323.59 / $707.95	Professional	50	$138.04	$323.59	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $213.80	Professional		$125.89	$125.89	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $10,000.00	Facility		$3,890.45	$5,128.61	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $478.63 / $1,122.02	Professional		$112.20	$478.63	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $478.63 / $1,479.11	Professional		$112.20	$478.63	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $812.83 / $3,235.94	Facility		$117.49	$812.83	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,187.76	Professional		$707.95	$1,023.29	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,174.90 / $1,479.11	Professional		$239.88	$1,174.90	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,258.93	Professional		$218.78	$218.78	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $141.25 / $1,737.80	Professional		$6.03	$141.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $6,309.57	Facility		$1,548.82	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $660.69 / $1,318.26	Professional		$134.90	$660.69	$1,318.26