Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.77 / $3,144.33 / $11,995.87	Facility		$325.77	$3,144.33	$11,995.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.12 / $87.68 / $162.88	Facility	52	$84.12	$87.68	$162.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.07 / $145.21 / $299.80	Facility	53	$35.07	$145.21	$299.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $208.35 / $421.24	Professional		$164.17	$208.35	$421.24
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $33.65 / $76.93 / $172.11	Professional	53	$33.65	$76.93	$172.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $211.73 / $622.66	Professional		$162.87	$211.73	$622.66
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 $177.72 / $343.31 / $640.91	Professional		$177.72	$343.31	$640.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.37 / $475.77 / $744.35	Professional		$266.37	$475.77	$744.35
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.02 / $244.40 / $392.06	Professional	53	$144.02	$244.40	$392.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.67 / $473.70 / $1,518.86	Facility		$197.67	$473.70	$1,518.86
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $664.86 / $664.86 / $664.86	Facility	52	$664.86	$664.86	$664.86
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $166.21 / $166.21 / $166.21	Facility	53	$166.21	$166.21	$166.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.72 / $769.06 / $2,208.13	Professional		$465.72	$769.06	$2,208.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.76 / $491.99 / $953.00	Facility		$295.76	$491.99	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.76 / $491.99 / $772.04	Professional		$295.76	$491.99	$772.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $311.77 / $746.20	Professional		$95.45	$311.77	$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 $465.72 / $730.62 / $926.10	Professional		$465.72	$730.62	$926.10