Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.56 / $4,459.71 / $9,878.75	Facility		$1,264.56	$4,459.71	$9,878.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,240.56 / $3,529.96 / $7,168.34	Facility	50	$3,240.56	$3,529.96	$7,168.34
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.73 / $70.73 / $186.75	Facility	52	$70.73	$70.73	$186.75
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.29 / $28.29 / $74.70	Facility	53	$28.29	$28.29	$74.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $328.31 / $1,059.20	Professional		$141.44	$328.31	$1,059.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $212.18 / $538.39 / $1,600.83	Professional	50	$212.18	$538.39	$1,600.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $98.51 / $98.51	Professional		$98.51	$98.51	$98.51
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 $357.43 / $607.71 / $812.34	Professional		$357.43	$607.71	$812.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $815.85 / $1,275.46	Professional		$345.92	$815.85	$1,275.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.35 / $999.30 / $6,451.00	Facility		$180.35	$999.30	$6,451.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $13,044.00 / $13,044.00 / $13,044.00	Facility	50	$13,044.00	$13,044.00	$13,044.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $775.66 / $775.66 / $775.66	Facility	52	$775.66	$775.66	$775.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $193.91 / $193.91 / $193.91	Facility	53	$193.91	$193.91	$193.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $576.16 / $964.72 / $4,715.39	Professional		$576.16	$964.72	$4,715.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $364.37 / $815.85 / $2,979.56	Facility		$364.37	$815.85	$2,979.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $337.70 / $755.91 / $1,226.85	Professional		$337.70	$755.91	$1,226.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,102.50 / $1,233.90	Professional		$3.00	$1,102.50	$1,233.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.16 / $964.72 / $1,285.44	Professional		$576.16	$964.72	$1,285.44