Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $3,398.27 / $12,036.14	Facility		$126.55	$3,398.27	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.80 / $28.80 / $47.05	Facility	52	$28.80	$28.80	$47.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.52 / $11.52 / $18.82	Facility	53	$11.52	$11.52	$18.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $168.54 / $251.11	Professional		$57.59	$168.54	$251.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.80 / $47.05 / $122.85	Professional	52	$28.80	$47.05	$122.85
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $11.52 / $18.82 / $49.13	Professional	53	$11.52	$18.82	$49.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $183.32 / $233.09	Professional		$88.56	$183.32	$233.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,604.02 / $2,173.87 / $4,080.90	Facility		$1,604.02	$2,173.87	$4,080.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $117.15 / $190.62	Professional		$60.64	$117.15	$190.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $192.87 / $267.83	Professional		$137.12	$192.87	$267.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $159.94 / $297.82	Facility		$73.43	$159.94	$297.82
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $228.87 / $228.87 / $228.87	Facility	52	$228.87	$228.87	$228.87
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $57.22 / $57.22 / $57.22	Facility	53	$57.22	$57.22	$57.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $224.45 / $753.20	Professional		$120.78	$224.45	$753.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $187.77 / $267.83	Facility		$94.55	$187.77	$267.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $196.06 / $267.83	Professional		$137.54	$196.06	$267.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $102.10 / $268.70	Professional		$3.00	$102.10	$268.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $213.23 / $270.82	Professional		$128.10	$213.23	$270.82