Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,323.00 / $9,544.15 / $20,928.72	Facility		$3,323.00	$9,544.15	$20,928.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,471.14 / $10,471.14 / $10,471.14	Facility	50	$10,471.14	$10,471.14	$10,471.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.98 / $762.56 / $3,546.71	Professional		$614.98	$762.56	$3,546.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $2,059.21 / $4,938.00	Professional	50	$288.10	$2,059.21	$4,938.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,187.86 / $8,386.12 / $15,742.91	Facility		$6,187.86	$8,386.12	$15,742.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.35 / $1,128.41 / $1,553.28	Professional		$649.35	$1,128.41	$1,553.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.98 / $1,901.57 / $2,371.39	Professional		$1,491.98	$1,901.57	$2,371.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $762.56 / $1,296.34 / $4,766.80	Facility		$762.56	$1,296.34	$4,766.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $976.02 / $1,881.55 / $6,141.92	Professional		$976.02	$1,881.55	$6,141.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,491.98 / $1,872.96 / $2,865.45	Facility		$1,491.98	$1,872.96	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,290.58 / $1,667.66 / $2,232.15	Professional		$1,290.58	$1,667.66	$2,232.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,121.09 / $2,163.50	Professional		$5.00	$1,121.09	$2,163.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.47 / $1,787.51 / $1,969.69	Professional		$1,084.47	$1,787.51	$1,969.69