Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,187.76 / $7,079.46	Facility		$575.44	$2,187.76	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,479.11 / $1,949.84 / $7,079.46	Facility	50	$1,479.11	$1,949.84	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $2,041.74	Professional		$398.11	$616.60	$2,041.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,202.26 / $1,412.54 / $1,949.84	Professional	50	$1,202.26	$1,412.54	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $794.33	Professional		$269.15	$467.74	$794.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $851.14 / $1,445.44	Professional	50	$588.84	$851.14	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $7,585.78	Facility		$3,019.95	$3,801.89	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $933.25	Professional		$398.11	$676.08	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $977.24 / $1,318.26	Professional		$446.68	$977.24	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $4,265.80	Facility		$457.09	$758.58	$4,265.80
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	50	$1,949.84	$1,949.84	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $3,801.89	Professional		$457.09	$831.76	$3,801.89
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $588.84 / $1,174.90	Professional	50	$588.84	$588.84	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,348.96	Professional		$977.24	$977.24	$1,348.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,380.38	Professional		$977.24	$1,023.29	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,079.46	Facility		$6,025.60	$6,025.60	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,047.13	Professional		$436.52	$776.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $8,128.31	Facility		$2,398.83	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,047.13	Professional		$478.63	$724.44	$1,047.13