Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.43 / $3,398.27 / $12,036.14	Facility		$223.43	$3,398.27	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.69 / $36.69 / $111.72	Facility	52	$36.69	$36.69	$111.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.68 / $14.68 / $44.69	Facility	53	$14.68	$14.68	$44.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $223.43 / $545.49	Professional		$73.00	$223.43	$545.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.69 / $111.72 / $211.48	Professional	52	$36.69	$111.72	$211.48
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $14.68 / $44.69 / $84.59	Professional	53	$14.68	$44.69	$84.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.86 / $147.86 / $147.86	Professional		$147.86	$147.86	$147.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,896.29 / $5,280.48 / $9,912.79	Facility		$3,896.29	$5,280.48	$9,912.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $176.66 / $452.17	Professional		$77.73	$176.66	$452.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $422.35 / $640.80	Professional		$177.63	$422.35	$640.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.07 / $379.83 / $1,775.00	Facility		$110.07	$379.83	$1,775.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $289.45 / $289.45 / $289.45	Facility	52	$289.45	$289.45	$289.45
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $72.36 / $72.36 / $72.36	Facility	53	$72.36	$72.36	$72.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $484.27 / $1,775.04	Professional		$266.52	$484.27	$1,775.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $189.78 / $474.32 / $657.76	Facility		$189.78	$474.32	$657.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $345.00 / $629.29	Professional		$173.95	$345.00	$629.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $251.90 / $661.00	Professional		$3.00	$251.90	$661.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,562.00 / $2,743.00 / $6,043.00	Facility		$1,562.00	$2,743.00	$6,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $460.07 / $577.12	Professional		$276.39	$460.07	$577.12