Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,801.89 / $12,589.25	Facility		$1,513.56	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $2,041.74	Professional		$316.23	$588.84	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $7,585.78	Facility		$3,019.95	$3,890.45	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $812.83	Professional		$338.84	$575.44	$812.83
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 $363.08 / $812.83 / $1,071.52	Professional		$363.08	$812.83	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $5,248.07	Facility		$331.13	$588.84	$5,248.07
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $588.84 / $3,090.30 / $3,090.30	Facility	62	$588.84	$3,090.30	$3,090.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $95.50 / $501.19 / $501.19	Facility	AS	$95.50	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $4,168.69	Professional		$371.54	$660.69	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,122.02	Professional		$707.95	$831.76	$1,122.02
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 $812.83 / $851.14 / $1,122.02	Professional		$812.83	$851.14	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $891.25	Professional		$380.19	$676.08	$891.25
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 $407.38 / $630.96 / $891.25	Professional		$407.38	$630.96	$891.25