Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.72 / $3,666.78 / $12,036.14	Facility		$928.72	$3,666.78	$12,036.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.28 / $30.28 / $94.39	Facility	53	$30.28	$30.28	$94.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $471.93 / $1,553.88	Professional		$151.41	$471.93	$1,553.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.31 / $3,250.33 / $6,101.70	Facility		$2,398.31	$3,250.33	$6,101.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $359.54 / $937.26	Professional		$158.19	$359.54	$937.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.94 / $923.31 / $1,604.63	Professional		$359.94	$923.31	$1,604.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.12 / $896.55 / $3,044.00	Facility		$227.12	$896.55	$3,044.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $145.93 / $145.93 / $145.93	Facility	53	$145.93	$145.93	$145.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.16 / $1,270.61 / $1,856.08	Professional		$721.16	$1,270.61	$1,856.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $1,062.42 / $1,599.71	Facility		$393.87	$1,062.42	$1,599.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $1,059.68 / $1,536.38	Professional		$350.80	$1,059.68	$1,536.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $787.80 / $1,387.50	Professional		$3.00	$787.80	$1,387.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.29 / $1,287.79 / $1,731.77	Professional		$801.29	$1,287.79	$1,731.77