Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.50 / $3,527.81 / $11,100.08	Facility		$956.50	$3,527.81	$11,100.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,879.14 / $10,879.14 / $10,879.14	Facility	50	$10,879.14	$10,879.14	$10,879.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.31 / $593.70 / $2,252.82	Professional		$499.31	$593.70	$2,252.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $528.69 / $813.38 / $1,475.86	Professional		$528.69	$813.38	$1,475.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,009.30 / $3,958.05 / $7,656.16	Facility		$3,009.30	$3,958.05	$7,656.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.59 / $914.63 / $1,219.52	Professional		$536.59	$914.63	$1,219.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.40 / $1,387.40 / $1,387.40	Facility		$1,387.40	$1,387.40	$1,387.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,338.60 / $1,755.80	Professional		$824.00	$1,338.60	$1,755.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.85 / $1,050.42 / $5,030.50	Facility		$552.85	$1,050.42	$5,030.50
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,152.00 / $4,152.00 / $5,715.25	Facility	50	$4,152.00	$4,152.00	$5,715.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $156.88 / $497.27 / $497.27	Facility	AS	$156.88	$497.27	$497.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $701.96 / $1,107.48 / $1,641.33	Professional		$701.96	$1,107.48	$1,641.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,387.40 / $1,849.86	Facility		$953.00	$1,387.40	$1,849.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $1,199.22 / $1,755.80	Professional		$776.00	$1,199.22	$1,755.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $591.51 / $1,093.24 / $1,905.99	Professional		$591.51	$1,093.24	$1,905.99
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 $719.86 / $1,205.00 / $1,460.77	Professional		$719.86	$1,205.00	$1,460.77