Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.24 / $3,330.00 / $12,036.14	Facility		$535.24	$3,330.00	$12,036.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.07 / $87.55 / $162.75	Facility	52	$84.07	$87.55	$162.75
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.63 / $84.07 / $267.52	Facility	53	$33.63	$84.07	$267.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $189.40 / $396.19	Professional		$162.77	$189.40	$396.19
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $33.63 / $78.73 / $170.95	Professional	53	$33.63	$78.73	$170.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $162.77 / $165.09	Professional		$162.77	$162.77	$165.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,665.88 / $3,864.78 / $6,782.44	Facility		$2,665.88	$3,864.78	$6,782.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.61 / $343.11 / $640.71	Professional		$177.61	$343.11	$640.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $475.77 / $744.10	Professional		$248.60	$475.77	$744.10
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $143.83 / $244.21 / $391.81	Professional	53	$143.83	$244.21	$391.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $426.42 / $1,044.63	Facility		$180.58	$426.42	$1,044.63
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $663.66 / $663.66	Facility	52	$663.66	$663.66	$663.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $165.92 / $165.92	Facility	53	$165.92	$165.92	$165.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.42 / $768.56 / $2,206.53	Professional		$465.42	$768.56	$2,206.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.60 / $491.51 / $953.00	Facility		$295.60	$491.51	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $491.51 / $776.41	Professional		$295.60	$491.51	$776.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $311.51 / $746.20	Professional		$95.34	$311.51	$746.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.42 / $723.26 / $868.78	Professional		$465.42	$723.26	$868.78