Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,943.28 / $14,454.40	Facility		$1,380.38	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,659.59	Professional		$446.68	$741.31	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $977.24	Professional		$302.00	$446.68	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $12,882.50	Facility		$5,011.87	$6,606.93	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,288.25	Professional		$524.81	$870.96	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,949.84	Professional		$1,071.52	$1,445.44	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,071.52 / $4,466.84	Facility		$537.03	$1,071.52	$4,466.84
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $3,548.13	Professional		$891.25	$1,258.93	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,905.46	Professional		$1,122.02	$1,479.11	$1,905.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,548.82	Professional		$1,071.52	$1,479.11	$1,548.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $8,128.31	Facility		$2,951.21	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,584.89	Professional		$660.69	$1,047.13	$1,584.89