Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $3,579.18 / $10,495.80	Facility		$549.00	$3,579.18	$10,495.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,466.32 / $5,054.00 / $7,097.36	Facility	50	$1,466.32	$5,054.00	$7,097.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $431.07 / $2,019.00	Professional		$368.06	$431.07	$2,019.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,203.00 / $1,397.79 / $1,426.84	Professional	50	$1,203.00	$1,397.79	$1,426.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $364.31 / $768.01 / $1,475.86	Professional		$364.31	$768.01	$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 $396.99 / $669.91 / $902.25	Professional		$396.99	$669.91	$902.25
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 $596.00 / $981.79 / $1,352.55	Professional		$596.00	$981.79	$1,352.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.30 / $738.24 / $3,063.75	Facility		$409.30	$738.24	$3,063.75
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,968.00 / $1,968.00 / $1,968.00	Facility	50	$1,968.00	$1,968.00	$1,968.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $871.08 / $3,829.00	Professional		$527.54	$871.08	$3,829.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $592.04 / $592.04 / $1,180.01	Professional	50	$592.04	$592.04	$1,180.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $827.28 / $1,083.19 / $1,664.87	Facility		$827.28	$1,083.19	$1,664.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $979.78 / $1,281.45	Professional		$705.00	$979.78	$1,281.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.26 / $785.52 / $1,835.98	Professional		$438.26	$785.52	$1,835.98
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 $527.54 / $871.08 / $1,070.53	Professional		$527.54	$871.08	$1,070.53