Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $5,463.36 / $13,841.56	Facility		$1,653.00	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,055.46 / $3,739.12 / $9,679.53	Facility	50	$2,055.46	$3,739.12	$9,679.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.62 / $881.78 / $1,574.52	Professional		$460.62	$881.78	$1,574.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $206.44 / $206.44	Professional		$206.44	$206.44	$206.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,121.08 / $6,940.38 / $13,028.86	Facility		$5,121.08	$6,940.38	$13,028.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.95 / $920.00 / $1,402.77	Professional		$484.95	$920.00	$1,402.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.59 / $1,537.16 / $1,998.48	Professional		$1,083.59	$1,537.16	$1,998.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.29 / $1,065.03 / $4,217.00	Facility		$587.29	$1,065.03	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $889.45 / $1,616.16 / $5,714.48	Professional		$889.45	$1,616.16	$5,714.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,092.42 / $1,583.38 / $2,440.29	Facility		$1,092.42	$1,583.38	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $962.81 / $1,381.89 / $1,978.07	Professional		$962.81	$1,381.89	$1,978.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $739.80 / $2,001.80	Professional		$5.00	$739.80	$2,001.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,483.00 / $7,934.00	Facility		$3,711.00	$5,483.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.39 / $1,535.38 / $1,872.29	Professional		$922.39	$1,535.38	$1,872.29